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Estimates of appropriations

Vote Health - Health Sector - Estimates 2019/20

Vote Health

APPROPRIATION MINISTER(S): Minister of Health (M36)

APPROPRIATION ADMINISTRATOR: Ministry of Health

RESPONSIBLE MINISTER FOR MINISTRY OF HEALTH: Minister of Health

Overview of the Vote

Vote Health ($19,871 million in 2019/20) is a significant public investment in the wellbeing of New Zealanders and their families. The Vote directly supports the day-to-day operation of strong and equitable public health and disability services delivered by a skilled workforce in our communities, hospitals and other care settings. It plays a key role in supporting population health across the life course, including improving health equity for Maori and other groups and helps facilitate the delivery of key system priorities including child wellbeing, mental wellbeing, wellbeing through prevention and primary health care. The Minister of Health is responsible for appropriations for 2019/20 covering the following:

  • $13,980 million (70.4% of the Vote) is provided to the 20 district health boards (DHBs) for services to meet the needs of each district's population, taking into account regional considerations, government priorities, and the strategic direction set for the health sector. Among the many services provided or funded by DHBs are hospital care; most aged care, mental health, and primary care services; the combined pharmaceuticals budget; and some public health services.
  • $3,221 million (16.2% of the Vote) funds health and disability services, funded at a national level, and managed by the Ministry of Health, consisting of:
    • National Disability Support Services ($1,345 million or 6.8% of the Vote)
    • Public Health Service Purchasing ($440 million or 2.2% of the Vote)
    • National Planned Care Services ($396 million or 2.0% of the Vote)
    • Primary Health Care Strategy ($331 million or 1.7% of the Vote)
    • National Maternity Services ($189 million or 0.9% of the Vote)
    • National Emergency Services ($150 million or 0.8% of the Vote)
    • National Mental Health Services ($141 million or 0.7% of the Vote)
    • National Child Health Services ($113 million or 0.6% of the Vote)
    • National Personal Health Services ($67 million or 0.3% of the Vote)
    • other national services ($49 million or 0.2% of the Vote).
  • $911 million (4.6% of the Vote) for the support, oversight, governance, and development of the health and disability sectors, consisting of:
    • Ministry of Health operating costs ($221 million or 1.1% of the Vote)
    • Supporting Equitable Pay ($414 million or 2.1% of the Vote)
    • Health Workforce Training and Development ($212 million or 1.1% of the Vote)
    • Monitoring and Protecting Health and Disability Consumer Interests ($32 million or 0.2% of the Vote)
    • other services ($32 million or 0.2% of the Vote).
  • $46 million (or 0.2% of the Vote) for other expenses including $43 million for Provider Development.
  • $1,713 million (8.6% of the Vote) for capital investment, consisting of:
    • sector capital investment ($1,548 million or 7.8% of the Vote)
    • Equity Support for DHB deficits ($134 million or 0.7% of the Vote)
    • Residential Care Loans - Payments ($15 million or 0.1% of Vote)
    • Ministry of Health capital expenditure ($16 million or 0.1% of Vote).
    The Minister of Health is also responsible for a capital injection to the Ministry of Health of $3 million.

Details of these appropriations are set out in Parts 2-4.

Details of Appropriations and Capital Injections

Annual Appropriations and Forecast Permanent Appropriations

  2018/19 2019/20
Titles and Scopes of Appropriations by Appropriation Type Final
Budgeted
$000
Estimated
Actual
$000
Budget
$000

Departmental Output Expenses

     

Health Sector Information Systems (M36)

This appropriation is limited to the provision of information technology services and the publication of data and information derived from these services to the health and disability system.
51,118 49,318 58,618

Managing the Purchase of Services (M36)

This appropriation is limited to purchasing services for the public and health and disability sector on behalf of the Crown, for those services where the Ministry has responsibility for the purchasing function (i.e. funding is not devolved to another entity).
49,374 47,374 42,441

Payment Services (M36)

This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.
15,340 15,340 17,340

Regulatory and Enforcement Services (M36)

This appropriation is limited to implementing, enforcing and administering health- and disability-related legislation and regulations, and provision of regulatory advice to the sector and to Ministers, and support services for committees established under statute or appointed by the Minister pursuant to legislation.
23,443 23,043 24,646

Sector Planning and Performance (M36)

This appropriation is limited to advising on and co-ordinating health sector planning and performance improvement; and funding, monitoring, and supporting the governance of, health sector Crown entities, and sector co-ordination.
54,426 52,426 51,026

Total Departmental Output Expenses

193,701 187,501 194,071

Departmental Capital Expenditure

     

Ministry of Health - Capital Expenditure PLA (M36)

This appropriation is limited to the purchase or development of assets by and for the use of the Ministry of Health, as authorised by section 24(1) of the Public Finance Act 1989.
20,887 16,462 16,000

Total Departmental Capital Expenditure

20,887 16,462 16,000

Non-Departmental Output Expenses

     

Health and Disability Support Services - Auckland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Auckland DHB.
1,330,189 1,330,189 1,391,484

Health and Disability Support Services - Bay of Plenty DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Bay of Plenty DHB.
728,953 728,953 762,449

Health and Disability Support Services - Canterbury DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB.
1,439,372 1,434,372 1,510,695

Health and Disability Support Services - Capital and Coast DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Capital and Coast DHB.
778,514 778,514 817,679

Health and Disability Support Services - Counties-Manukau DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Counties-Manukau DHB.
1,447,124 1,447,124 1,524,353

Health and Disability Support Services - Hawkes Bay DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Hawkes Bay DHB.
501,131 501,131 524,166

Health and Disability Support Services - Hutt DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Hutt DHB.
401,752 401,752 416,836

Health and Disability Support Services - Lakes DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Lakes DHB.
327,563 327,563 340,415

Health and Disability Support Services - MidCentral DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB.
515,382 515,382 540,792

Health and Disability Support Services - Nelson-Marlborough DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Nelson-Marlborough DHB.
442,103 442,103 462,233

Health and Disability Support Services - Northland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Northland DHB.
603,896 603,896 632,077

Health and Disability Support Services - South Canterbury DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from South Canterbury DHB.
182,428 182,428 190,066

Health and Disability Support Services - Southern DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Southern DHB.
884,027 884,027 926,825

Health and Disability Support Services - Tairawhiti DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB.
166,215 166,215 171,979

Health and Disability Support Services - Taranaki DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB.
349,770 349,770 362,111

Health and Disability Support Services - Waikato DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waikato DHB.
1,206,301 1,206,301 1,262,909

Health and Disability Support Services - Wairarapa DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB.
140,650 140,650 149,112

Health and Disability Support Services - Waitemata DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB.
1,541,548 1,541,548 1,622,080

Health and Disability Support Services - West Coast DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from West Coast DHB.
133,949 133,949 137,668

Health and Disability Support Services - Whanganui DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB.
226,852 226,852 234,337

Health Services Funding (M36)

This appropriation is limited to initiatives to improve the financial sustainability and performance of District Health Boards.
- - 23,681

Health Workforce Training and Development (M36)

This appropriation is limited to the provision, purchase, and support of workforce development for people working in the health and disability sector and of services that support those workforces to be sustainable, flexible, and fit-for-purpose.
187,120 187,120 211,641

Monitoring and Protecting Health and Disability Consumer Interests (M36)

This appropriation is limited to the provision, purchase, and support of services that monitor and protect health and disability consumer interests.
29,546 29,546 31,546

National Child Health Services (M36)

This appropriation is limited to the provision, purchase, and support of child health services.
93,254 93,254 112,980

National Contracted Services - Other (M36)

This appropriation is limited to the purchase of other services directly by the Crown to support the health and disability services sector, including the national management of pharmaceuticals, and health research.
23,488 23,488 23,488

National Disability Support Services (M36)

This appropriation is limited to the provision, purchase, and support of disability support services.
1,351,707 1,351,707 1,344,646

National Emergency Services (M36)

This appropriation is limited to the provision, purchase, and support of emergency services.
124,313 120,313 150,319

National Health Information Systems (M36)

This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors.
8,042 5,242 8,382

National Maori Health Services (M36)

This appropriation is limited to the provision, purchase, and support of health and disability services that are either for Maori or by Maori.
6,828 6,828 6,828

National Maternity Services (M36)

This appropriation is limited to the provision, purchase, and support of maternity services.
181,067 181,067 188,492

National Mental Health Services (M36)

This appropriation is limited to the provision, purchase, and support of mental health services.
80,194 77,694 141,296

National Personal Health Services (M36)

This appropriation is limited to personal healthcare and support services purchased directly by the Crown, including mobile surgical services, telephone and online advice services, hospice services, sexual and reproductive health services, and services associated with the implementation of the Oral Health and Cancer Control Strategies.
70,751 70,751 67,005

National Planned Care Services (M36)

This appropriation is limited to the provision, purchase, and support of planned care interventions.
362,357 362,357 396,085

Primary Health Care Strategy (M36)

This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
264,639 264,639 330,533

Problem Gambling Services (M36)

This appropriation is limited to the provision, purchase, and support of services that minimise the harm from gambling, in accordance with the Gambling Act 2003.
17,765 15,265 18,698

Public Health Service Purchasing (M36)

This appropriation is limited to the provision, purchase, and support of public health services.
403,266 392,608 440,302

Supporting Equitable Pay (M36)

This appropriation is limited to costs related to supporting equitable pay for care and support workers, and mental health and addiction support workers.
377,405 377,405 413,636

Auckland Health Projects Integrated Investment Plan (M36)

The appropriation is limited to expenses incurred in developing an Integrated Investment Plan for Auckland Health projects.
1,370 30 -

Health Sector Projects Operating Expenses (M36)

This appropriation is limited to operating expenses associated with the governance, planning and development of health sector capital projects.
8,558 4,558 -

Supporting Safe Working Conditions for Nurses (M36)

This appropriation is limited to costs relating to meeting the obligations for safe staffing for nurses and to supporting the Care Capacity Demand Management (CCDM) Programme across District Health Boards.
45,694 35,694 -

Total Non-Departmental Output Expenses

16,985,083 16,942,285 17,889,824

Non-Departmental Other Expenses

     

International Health Organisations (M36)

This appropriation is limited to the Crown funding New Zealand's World Health Organization (WHO) membership and contributing to specific WHO projects.
2,030 2,030 2,030

Legal Expenses (M36)

This appropriation is limited to funding the defence and settlement of health-related or disability-related legal claims against the Crown.
11,028 3,378 1,028

Provider Development (M36)

This appropriation is limited to supporting the development of health or disability service providers, in particular, those supporting vulnerable populations, such as Maori and Pacific peoples.
28,289 21,289 43,434

Total Non-Departmental Other Expenses

41,347 26,697 46,492

Non-Departmental Capital Expenditure

     

Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)

This appropriation is limited to providing capital contributions to health sector Crown entities or agencies for new investments and reconfiguration of their balance sheets.
264,273 148,773 1,507,470

Equity Support for DHB deficits (M36)

This appropriation is limited to equity injections to District Health Boards to address working capital requirements.
234,211 234,211 134,211

Health Sector Projects (M36)

This appropriation is limited to the provision or purchase of health sector assets.
213,922 213,922 40,600

Residential Care Loans - Payments (M36)

This appropriation is limited to the provision of interest-free loans to people entering into aged residential care facilities.
15,000 15,000 15,000

Total Non-Departmental Capital Expenditure

727,406 611,906 1,697,281

Multi-Category Expenses and Capital Expenditure

     

Policy Advice and Ministerial Servicing MCA (M36)

The single overarching purpose of this appropriation is to provide policy advice and other support to Ministers in discharging their policy decision-making and other portfolio responsibilities.
26,401 24,901 26,895

Departmental Output Expenses

     

Ministerial Servicing

This category is limited to the provision of services to Ministers to enable them to discharge their portfolio responsibilities other than policy decision-making.
4,702 4,702 4,702

Policy Advice

This category is limited to the provision of advice (including second opinion advice and contributions to policy advice led by other agencies) to support decision-making by Ministers on government policy matters.
16,439 16,439 17,889

Supporting the Review of the New Zealand Health and Disability System

This category is limited to the expenses of, and providing support to, the Expert Panel advising Ministers on the Review of the New Zealand Health and Disability System.
5,260 3,760 4,304

Total Multi-Category Expenses and Capital Expenditure

26,401 24,901 26,895

Total Annual Appropriations and Forecast Permanent Appropriations

17,994,825 17,809,752 19,870,563

Capital Injection Authorisations

  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Ministry of Health - Capital Injection (M36) 10,092 10,092 3,144

Supporting Information

Part 1 - Vote as a Whole

1.1 - New Policy Initiatives

Policy Initiative Appropriation 2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Funding for District Health Boards

           
District Health Boards - Additional Support to Improve the Health of New Zealanders

Health and Disability Support Services - DHBs

Non-departmental output expense
- 569,000 569,000 569,000 569,000
Settlement of the NZNO Nurses Multi-Employer Collective Agreement

Health and Disability Support Services - DHBs

Non-departmental output expense
50,252 115,394 116,826 116,826 116,826
 

Supporting Safe Working Conditions for Nurses

Non-departmental output expense
45,694 - - - -
 

Managing the Purchase of Services

Departmental output expense
1,200 - - - -
Funding the DHB PSA Multi-Employer Collective Agreements

Health and Disability Support Services - DHBs

Non-departmental output expense
29,096 28,054 22,735 22,735 22,735
Increasing Access to and the Range of Affordable Pharmaceuticals

Health and Disability Support Services - DHBs

Non-departmental output expense
- 10,000 10,000 10,000 10,000
Christchurch Terror Attacks - Initial Health Response

Health and Disability Support Services - Canterbury DHB

Non-departmental output expense
3,000 - - - -
Improving the Financial Sustainability and Performance of District Health Boards

Health Services Funding

Non-departmental output expense
- 23,681 23,681 23,681 23,681

Funding for Mental Wellbeing

           
Expanding Access and Choice of Primary Mental Health and Addiction Support

National Mental Health Services

Non-departmental output expense
- 29,000 76,281 108,250 150,375
 

Health Workforce Training and Development

Non-departmental output expense
- 13,888 18,186 22,330 22,664
 

Managing the Purchase of Services

Departmental output expense
- 1,750 1,750 2,050 2,050
 

Health Sector Information Systems

Departmental output expense
- 3,000 750 750 750
 

Policy Advice and Ministerial Servicing MCA - Policy Advice

Departmental output expense
- 500 250 250 250
Enhancing Specialist Alcohol and Other Drug Services

National Mental Health Services

Non-departmental output expense
- 10,500 10,500 10,500 10,500
Preventing Suicide and Supporting People Bereaved by Suicide

National Mental Health Services

Non-departmental output expense
- 10,100 10,000 9,950 9,950
Expanding Telehealth and Digital Supports for Mental Wellbeing

National Mental Health Services

Non-departmental output expense
- 5,200 5,200 5,200 5,200
Forensic Mental Health Services for Young People

National Mental Health Services

Non-departmental output expense
- 2,420 3,960 5,470 7,150
Forensic Mental Health Services for Adults

National Mental Health Services

Non-departmental output expense
- 1,770 3,430 4,410 5,390
Enhancing Primary Addiction Responses

National Mental Health Services

Non-departmental output expense
- 2,000 3,000 4,000 5,000
Mental Wellbeing Support for Parents and Whanau

National Mental Health Services

Non-departmental output expense
- 500 3,000 3,000 3,000
 

Policy Advice and Ministerial Servicing MCA - Policy Advice

Departmental output expense
- 50 100 100 250
Improving Support for People Experiencing a Mental Health Crisis

National Mental Health Services

Non-departmental output expense
- 2,000 2,000 2,000 2,000
Intensive Parenting Support - Expanding the Pregnancy and Parenting Service to Improve the Wellbeing Outcomes of Parents and their Children

National Mental Health Services

Non-departmental output expense
- 1,000 2,000 2,000 2,000
Support for Christchurch - Continuation of Funding for Primary Care and Community-Based Mental Health Workers

National Mental Health Services

Non-departmental output expense
- 5,480 - - -
Te Ara Oranga - Continuing the Methamphetamine Harm Reduction Programme in Northland

National Mental Health Services

Non-departmental output expense
- 1,000 1,000 1,000 1,000
Promoting Wellbeing in Primary and Intermediate Schools

National Mental Health Services

Non-departmental output expense
- 1,000 400 400 400
Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018

Supporting Equitable Pay

Non-departmental output expense
29,405 36,636 34,468 42,787 42,787
 

Managing the Purchase of Services

Departmental output expense
3,200 - - - -
 

Health Workforce Training and Development

Non-departmental output expense
455 472 - - -
Expanding and Enhancing School Based Health Services

National Child Health Services

Non-departmental output expense
- 4,976 4,626 4,626 4,626
 

Policy Advice and Ministerial Servicing MCA - Policy Advice

Departmental output expense
- 100 100 200 100
 

Managing the Purchase of Services

Departmental output expense
- 156 45 45 -
Establishing a New Mental Health and Wellbeing Commission

Monitoring and Protecting Health and Disability Consumer Interests

Non-departmental output expense
- 2,000 2,000 2,000 2,000

Funding for Disability Support Services

           
Disability Support Services - Maintaining Health Services for Disabled New Zealanders

National Disability Support Services

Non-departmental output expense
60,400 72,000 72,000 72,000 72,000
Funding the Growth in In-Between Travel for Home and Community Support

National Disability Support Services

Non-departmental output expense
- - 39,440 39,440 39,440
Meeting Minimum Wage Obligations under the Home and Community Support (Payment for Travel Between Clients) Settlement Act

National Disability Support Services

Non-departmental output expense
- 5,756 5,756 5,756 5,756
Disability Support System Transformation - MidCentral Prototype

National Disability Support Services

Non-departmental output expense
112 220 - - -

Funding for other initiatives

           
Nursing Workforce Accord - Providing Additional Places for Nurse Entry to Practice

Health Workforce Training and Development

Non-departmental output expense
- 6,133 6,133 6,133 6,133
Health Workforce Training and Development to Benefit Rural and Regional Areas

Health Workforce Training and Development

Non-departmental output expense
- 4,563 4,563 4,563 4,563
Increasing Access to and Modernising Child Development Services to Improve the Health and Social Outcomes of Children with Additional Needs

National Child Health Services

Non-departmental output expense
- 8,750 8,750 8,750 8,750
Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years

National Child Health Services

Non-departmental output expense
- 10,000 - - -
Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years

National Child Health Services

Non-departmental output expense
4,000 - - - -
Supporting Schools and Early Learning Settings to Improve Wellbeing Through Healthy Eating and Quality Physical Activity

Public Health Service Purchasing

Non-departmental output expense
- 2,570 1,810 1,810 1,810
National Community Maternity Services - Maintaining Primary Maternity Services for New Zealanders to Support Healthy Pregnancies and Births

National Maternity Services

Non-departmental output expense
- 7,425 7,425 7,425 7,425
Improving the Financial Sustainability and Performance of Emergency Services

National Emergency Services

Non-departmental output expense
- 13,430 7,570 - -
Supporting the Continued Delivery of Emergency Ambulance Services

National Emergency Services

Non-departmental output expense
- 4,301 4,301 4,301 4,301
Planned Care, including Elective Surgery - Maintaining Services for New Zealanders

National Planned Care Services

Non-departmental output expense
- 16,700 16,700 16,700 16,700
Planned Care, including Elective Surgery - Increasing the Number of Interventions for New Zealanders

National Planned Care Services

Non-departmental output expense
- 12,000 12,000 12,000 12,000
Increasing Access to Gender Affirming Surgery

National Planned Care Services

Non-departmental output expense
- 748 748 748 748
Establish New Zealand Blood Service as the National Organ Donation Agency

National Planned Care Services

Non-departmental output expense
100 475 250 250 250
Primary Care - Maintaining Access to Primary Health Services for New Zealanders

Primary Health Care Strategy

Non-departmental output expense
- 16,800 16,800 16,800 16,800
Strategy to Prevent and Minimise Gambling Harm

Problem Gambling Services

Non-departmental output expense
- 3,171 8,582 9,068 -
 

Managing the Purchase of Services

Departmental output expense
- 260 293 293 -
National Bowel Screening Programme - Rollout of Programme to a Further Four DHBs

Public Health Service Purchasing

Non-departmental output expense
- 9,000 9,000 9,000 9,000
Synthetic Drugs Response

Public Health Service Purchasing

Non-departmental output expense
6,750 5,550 2,150 2,150 -
Violence Intervention Programme - Health Sector Screening for Early Intervention and Prevention of Family Violence

Public Health Service Purchasing

Non-departmental output expense
- 524 524 524 524
 

Policy Advice and Ministerial Servicing MCA - Policy Advice

Departmental output expense
- 300 300 - -
Support for Rainbow Communities

Public Health Service Purchasing

Non-departmental output expense
60 1,010 - - -
Funded Family Care

Legal Expenses

Non-departmental other expense
10,000        
Supporting Integrated Health and Social Services at Auckland City Mission

Provider Development

Non-departmental other expense
16,700 - - - -
Reducing the Incidence and Improving the Management of Rheumatic Fever

Public Health Service Purchasing

Non-departmental output expense
- 2,710 3,030 3,130 3,130
Increasing the Pacific Provider and Workforce Development Fund to Support a Pacific Workforce Pipeline

Provider Development

Non-departmental other expense
- 2,380 2,380 2,380 2,380
 

Managing the Purchase of Services

Departmental output expense
- 120 120 120 120
Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes

Provider Development

Non-departmental other expense
- 500 1,473 1,500 2,000
 

Managing the Purchase of Services

Departmental output expense
  400 463 1,464 1,968
Support Programme for Pacific Students to Successfully Complete a Nursing/ Midwifery Undergraduate Degree

Provider Development

Non-departmental other expense
- 315 780 1,245 1,395
 

Managing the Purchase of Services

Departmental output expense
- 150 150 150 150
Maori Health Workforce Development Package - Pathways to Ongoing Employment to Enable Equitable Health Outcomes

Provider Development

Non-departmental other expense
- 2,500 2,500 2,500 2,500
Increasing Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund to Improve Maori Health Outcomes

Provider Development

Non-departmental other expense
- 750 750 750 750
 

Policy Advice and Ministerial Servicing MCA - Policy Advice

Departmental output expense
- 250 250 250 250
An Effective, Timely Crown Response to the Royal Commission of Inquiry into Historical Abuse in Care

Managing the Purchase of Services

Departmental output expense
- 150 - - -
Medicinal Cannabis Scheme - Quality Standards and Licensing

Regulatory and Enforcement Services

Departmental output expense
582 535 - - -
Infrastructure Support for District Health Boards' Capital Projects

Sector Planning and Performance

Departmental output expense
- 3,000 4,500 5,500 7,000
Enhancing the Ministry of Health's Capability to Support Government Priorities

Sector Planning and Performance

Departmental output expense
- 600 600 600 600
 

Policy Advice and Ministerial Servicing MCA - Policy Advice

Departmental output expense
- 400 400 400 400
Establishing the NZ Health and Disability System Review

Policy Advice and Ministerial Servicing MCA - Supporting the Review of the New Zealand Health and Disability System

Departmental output expense
5,260 4,304 - - -
2020 Cannabis Referendum: Approach and Timeframes

Policy Advice and Ministerial Servicing MCA - Policy Advice

Departmental output expense
150 - - - -

Total Operating Expenditure

  266,416 1,102,377 1,167,779 1,211,260 1,248,527
District Health Boards' Capital Investment

Equity for Capital Projects for DHBs and Health Sector Crown Agencies

Non-departmental capital expenditure
- 850,000 850,000 - -
District Health Boards - Deficit Support

Equity Support for DHB deficits

Non-departmental capital expenditure
95,000 95,000 - - -
Dunedin Hospital Redevelopment drawdown from Contingency Fund

Health Sector Projects

Non-departmental capital expenditure
9,600 10,600 - - -

Total Capital Expenditure

  104,600 955,600 850,000 - -
National Screening Solution drawdown from Contingency Fund

Departmental capital injection

10,092 3,144 733 - -

Total

 

381,108

2,061,121

2,018,512

1,211,260

1,248,527

1.2 - Trends in the Vote

Summary of Financial Activity
  2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 2021/22 2022/23
  Actual
$000
Actual
$000
Actual
$000
Actual
$000
Final Budgeted
$000
Estimated
Actual
$000
Departmental
Transactions
Budget
$000
Non-
Departmental
Transactions
Budget
$000
Total
Budget
$000
Estimated
$000
Estimated
$000
Estimated
$000

Appropriations

                       
Output Expenses 14,297,234 14,746,556 15,228,315 16,133,480 17,178,784 17,129,786 194,071 17,889,824 18,083,895 18,045,678 18,186,298 18,222,865
Benefits or Related Expenses - - - - - - N/A - - - - -
Borrowing Expenses - - - - - - - - - - - -
Other Expenses 26,480 25,307 102,469 22,196 41,347 26,697 - 46,492 46,492 35,230 35,722 36,372
Capital Expenditure 689,136 487,272 3,043,698 348,501 748,293 628,368 16,000 1,697,281 1,713,281 1,046,633 135,021 68,850
Intelligence and Security Department Expenses and Capital Expenditure - - - - - - - N/A - - - -
Multi-Category Expenses and Capital Expenditure (MCA)                        
Output Expenses 20,878 20,705 20,521 20,586 26,401 24,901 26,895 - 26,895 22,391 22,191 22,241
Other Expenses - - - - - - - - - - - -
Capital Expenditure - - - - - - N/A - - - - -

Total Appropriations

15,033,728 15,279,840 18,395,003 16,524,763 17,994,825 17,809,752 236,966 19,633,597 19,870,563 19,149,932 18,379,232 18,350,328

Crown Revenue and Capital Receipts

                       
Tax Revenue - - - - - - N/A - - - - -
Non-Tax Revenue 669,571 687,880 675,915 834,322 878,648 878,648 N/A 927,996 927,996 964,087 981,317 998,811
Capital Receipts 147,800 24,648 23,133 23,719 27,499 27,499 N/A 27,499 27,499 27,499 27,499 27,499

Total Crown Revenue and Capital Receipts

817,371 712,528 699,048 858,041 906,147 906,147 N/A 955,495 955,495 991,586 1,008,816 1,026,310

Note - where restructuring of the vote has occurred then, to the extent practicable, prior years information has been restated as if the restructuring had occurred before the beginning of the period covered. In this instance Total Appropriations for the Budgeted and Estimated Actual year may not equal Total Annual Appropriations and Forecast Permanent Appropriations and Multi-Year Appropriations in the Details of Appropriations and Capital Injections.

Adjustments to the Summary of Financial Activity Table Due to Vote Restructuring

There have been no restructuring adjustments to prior year information in the Summary of Financial Activity table.

1.3 - Analysis of Significant Trends

Total Vote: All Appropriations

Vote Health has grown from actual expenditure in 2014/15 of $15,034 million to budgeted expenditure in 2019/20 of $19,871 million, an increase of $4,837 million over five years. This has mainly been driven by increases to:

  • Output Expenses, which were $14,318 million in 2014/15 and are budgeted at $18,111 million in 2019/20 - an increase of $3,793 million, and
  • Capital Expenditure, which was $689 million in 2014/15 and is budgeted at $1,713 million in 2019/20 - an increase of $1,024 million.
Output Expenses

The growth in the Vote's Output Expenses is mainly in funding provided to DHBs to address demographic and cost pressures. Their appropriations for 2019/20 are budgeted at $13,980 million, an increase of $2,536 million over the actual expenditure in 2014/15. In addition to this expenditure, DHBs are typically contracted by the Ministry of Health for additional national services. In some cases, this funding is being devolved to DHBs, making them directly responsible for services previously administered nationally.

Also contributing to the growth are increases in funding for national services administered by the Ministry of Health, such as disability support services and various public and personal health services. The 2019/20 appropriations for these national services are budgeted for $3,221 million which is $758 million greater than the actual expenditure in 2014/15. The main drivers of the increase are the Crown's ongoing investment in:

  • disability support services, which has increased by nearly $219 million since 2014/15
  • primary health care strategy, which has increased by nearly $176 million since 2014/15, and
  • additional planned care (elective) services, which has increased by $106 million since 2014/15.

Funding for the support, oversight, governance, and development of the health and disability sectors has also grown. Actual expenditure of $411 million in 2014/15 has increased to budgeted expenditure in 2019/20 of $911 million. The increase is mainly in funding to support pay equity.

Other Expenses

Vote Health also provides funding for Other Expenses, such as grants to support the development of service providers in the health and disability sector, and to fund international health organisations. It also funds the defence and settlement of legal claims. This expenditure is budgeted to grow to $46 million in 2019/20 from the actual expenditure of $26 million in 2014/15, largely driven by investment in Provider Development.

Capital Expenditure

The Crown continues to provide capital for sector infrastructure. Appropriations for 2019/20 are $1,548 million, compared to actual expenditure of $652 million in 2014/15. As in previous years, this includes funding for multi-year projects and provision for some future expenses or risks.

There is $165 million of other capital expenditure appropriated for 2019/20. This comprises equity injections to district health boards to address working capital requirements, residential care loans, and authority for the Ministry of Health to purchase or develop assets for its use.

In 2016/17, additional capital funding of $2,415 million was provided to replace DHBs' Crown loans with equity. This resulted in a significant increase in the capital expenditure appropriated in that year. See Summary of Financial Activity table in Part 1.2.

Crown Revenue and Capital Receipts

Vote Health receives Crown Revenue from ACC for the purchase of public health acute and other services from DHBs, and capital charge revenue from Crown Entities in the health sector. The ACC revenue has increased from $475 million in 2014/15 to forecast revenue of $553 million in 2019/20. The capital charge revenue has grown from $194 million in 2014/15 to forecast revenue of $375 million in 2019/20. This has been impacted by changes in the capital charge rate and the replacement of DHBs' Crown loans with equity in 2016/17.

Vote Health receives Capital Receipts in the form of repayments from residential care loans and equity repayments from DHBs. The residential care loan repayments are forecast at $15 million per annum. The equity repayments from DHBs vary significantly across years. In 2014/15, Canterbury DHB made significant repayments from the insurance proceeds it received as a result of the Canterbury earthquakes. These repayments contributed towards the Canterbury hospital rebuild funded by capital expenditure appropriations.

1.4 - Reconciliation of Changes in Appropriation Structure

    Old Structure New Structure
2018/19 Appropriations
in the 2018/19 Structure
2018/19
(Current)
$000
Appropriations to which
Expenses (or Capital
Expenditure) have been Moved from or to
Amount
Moved
$000
2018/19 Appropriations
in the 2019/20 Structure
2018/19
(Restated)
$000
2019/20
$000

Non-Departmental Output Expenses

     

Non-Departmental Output Expenses

   
National Elective Services 362,357 renamed - National Planned Care Services 362,357 396,085

Total

362,357

  -

Total

362,357

396,085

Explanations of the reasons for changing the appropriation structure are noted in the details of each appropriation in Parts 2-4.

Part 2 - Details of Departmental Appropriations

2.1 - Departmental Output Expenses

Health Sector Information Systems (M36)
Scope of Appropriation
This appropriation is limited to the provision of information technology services and the publication of data and information derived from these services to the health and disability system.
Expenses and Revenue
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 51,118 49,318 58,618
Revenue from the Crown 51,118 51,118 58,618
Revenue from Others - - -
What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide information technology services and infrastructure to support the operation of New Zealand's health services.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Client Insight and Analytics

     

Percentage of published Tier 1 statistics meet Statistics New Zealand standards within agreed timetable

100% 100% 100%

Respondent satisfaction with how the Health Survey is conducted is greater than

90% 90% 90%

National Infrastructure and Ministry Information Systems

     

The percentage of time for which key sector- and public-facing systems are available (see Note 1)

99% 100% 99%

Number of security breach incidents

0 0 0

Note 1 - Key sector- and public-facing systems are National Health Index, National Immunisation Register, Online Pharmacy, Special Authorities, Oracle Financials, and Web Access.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Expanding Access and Choice of Primary Mental Health and Addiction Support 2019/20 - 3,000 750 750 750
National Bowel Screening Programme Implementation Year Two 2018/19 4,000 4,000 2,500 2,500 2,500

Previous Government

           
National Bowel Screening Programme Rollout 2016/17 2,500 2,500 2,500 2,500 2,500
Reasons for Change in Appropriation

This appropriation increases by $7.500 million to $58.618 million due to:

  • $4.500 million one-off reduction in 2018/19 for a fiscally neutral transfer between departmental output expenses that better reflects the outputs the Ministry expects to deliver during the year, and
  • $3 million for the Budget 2019 initiative Expanding Access and Choice of Primary Mental Health and Addiction Support.
Managing the Purchase of Services (M36)
Scope of Appropriation
This appropriation is limited to purchasing services for the public and health and disability sector on behalf of the Crown, for those services where the Ministry has responsibility for the purchasing function (i.e. funding is not devolved to another entity).
Expenses and Revenue
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 49,374 47,374 42,441
Revenue from the Crown 49,374 49,374 42,441
Revenue from Others - - -
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the administration of health and disability services, purchased on behalf of the Crown in line with Government priorities and the Ministry of Health's strategic intentions (as outlined in the Ministry of Health's Statement of Strategic Intentions).

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

The Ministry procurement process is in line with government standards

Achieved Achieved Achieved

The ratio of departmental expenditure for the output class against relevant non-departmental expenditure

1:107 1:107 1:107

The percentage of Ministry feedback to Crown Funding Agreement Variation (CFAV) monitoring reports that are supplied to DHBs within agreed timeframes (see Note 1)

95% 100% 95%

The percentage of complaints in regards to Disability Support Services (DSS) that receive either a resolution notification or progress update within 20 days of DSS receiving the complaint

95% 95% 95%

Note 1 - When a monitoring report is received at the Ministry, it is logged into an electronic system. This generates an automated letter to say it has been received. The 'formal response' is the next contact the Ministry has with the provider when necessary. The formal response could be a phone call, email, formal letter or an actual visit.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
Current Government            
Expanding Access and Choice of Primary Mental Health and Addiction Support 2019/20 - 1,750 1,750 2,050 2,050
Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes 2019/20 - 400 463 1,464 1,968
Strategy to Prevent and Minimise Gambling Harm 2019/20 - 260 293 293 -
Support Programme for Pacific Students to Successfully Complete a Nursing/ Midwifery Undergraduate Degree 2019/20 - 150 150 150 150
Increasing the Pacific Provider and Workforce Development Fund to Support a Pacific Workforce Pipeline 2019/20 - 120 120 120 120
Expanding and Enhancing School Based Health Services 2019/20 - 156 45 45 -
An Effective, Timely Crown Response to the Royal Commission of Inquiry into Historical Abuse in Care 2019/20 - 150 - - -
Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018 2018/19 3,200 - - - -
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 1,200 - - - -
Transforming the Disability Support System drawdown from Contingency Fund 2018/19 6,971 6,420 - - -
Integrated Therapies Pilot for 18-25 Year Olds 2018/19 620 420 420 - -
Developing a Free Annual Health Check for SuperGold Card Holders 2018/19 1,000 - - - -
Meeting Air Ambulance Service Cost Pressures 2018/19 300 300 300 300 300
Very Low Cost General Practitioner Visits for Community Services Card Holders 2017/18 400 - - - -

Previous Government

           
Contraceptive Services for Low Income Women 2017/18 120 120 120 120 120
National Bowel Screening Programme Rollout 2016/17 2,415 2,340 2,340 2,340 2,340
Problem Gambling Services - Continued Support 2016/17 293 - - - -
Reasons for Change in Appropriation

This appropriation decreases by $6.933 million to $42.441 million mainly due to:

  • $3.200 million for a one-off increase in funding in 2018/19 from Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018
  • $3 million uplift in 2018/19 for a fiscally neutral transfer between departmental output expenses that better reflects the outputs the Ministry expects to deliver during the year
  • $1.200 million for a one-off increase in funding in 2018/19 for settlement of the NZNO nurses multi-employer collective agreement
  • $1 million for a one-off increase in funding for the Budget 2018 initiative Developing a Free Annual Health Check for SuperGold Card Holders
  • $551,000 for a reduction in funding in 2019/20 for the initiative Transforming the Disability Support System, and
  • $400,000 in 2018/19 only for Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Services Card Holders.

This decrease is partly offset by:

  • $1.750 million for the Budget 2019 initiative Expanding Access and Choice of Primary Mental Health and Addiction Support
  • $400,000 for the Budget 2019 initiative Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes
  • $260,000 from Strategy to Prevent and Minimise Gambling Harm, and
  • $576,000 for four other Budget 2019 initiatives.
Memorandum Account
  2018/19 2019/20
  Budgeted
$000
Estimated Actual
$000
Budget
$000

Problem Gambling

     
Opening Balance at 1 July (609) (609) (609)
Revenue 990 990 957
Expenses 990 990 957

Closing Balance at 30 June

(609) (609) (609)
Payment Services (M36)
Scope of Appropriation
This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.
Expenses and Revenue
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 15,340 15,340 17,340
Revenue from the Crown 15,340 15,340 17,340
Revenue from Others - - -
What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide for timely and appropriate payments to be made to eligible parties (including eligible health service providers and consumers) and contracts to be audited and processed efficiently and effectively.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

The percentage of claims paid on time

98% 100% 98%

The percentage of claims processed accurately

95% 99% 95%

The percentage of all draft agreements prepared for funders within target timeframes

95% 85% 95%

The percentage of agreements prepared accurately (see Note 1)

95% 100% 95%

The percentage of calls to the contact centre answered within service specifications for timeliness (20 seconds)

80% 80% 80%

The percentage of calls abandoned by callers prior to being answered by the contact centre is less than

5% 4.5% 5%

The percentage of enquiries resolved within 10 working days

95% 96% 95%

Court written decisions and findings relating to concluded Ministry of Health Audit & Compliance initiated prosecutions contain no adverse judicial comment in regards to the evidential basis of the prosecutions

0 0 0

Percentage of Health Integrity Line complaints that are evaluated within 10 working days of complaint being received is greater than or equal to

95% 100% 95%

Note 1 - All information is deemed to be processed accurately if agreements are legally binding and purchase order information is correctly entered.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Reasons for Change in Appropriation

The increase in this appropriation is due to a one-off funding reduction of $2 million in 2018/19 from a fiscally neutral transfer between departmental outputs that better reflects the outputs the Ministry expects to deliver.

Regulatory and Enforcement Services (M36)
Scope of Appropriation
This appropriation is limited to implementing, enforcing and administering health- and disability-related legislation and regulations, and provision of regulatory advice to the sector and to Ministers, and support services for committees established under statute or appointed by the Minister pursuant to legislation.
Expenses and Revenue
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 23,443 23,043 24,646
Revenue from the Crown 12,735 12,735 11,188
Revenue from Others 10,708 10,708 13,458
What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that health and disability services are regulated so that appropriate standards are followed.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

The percentage of medium and high priority quality incident notifications relating to medicines and medical devices that undergo an initial review within 5 working days

90% 90% 90%

The percentage of all certificates issued to providers under the Health and Disability Services (Safety) Act 2001 within target timeframes

90% 90% 90%

Percentage of licences and authorities issued under the Medicines Act 1981 and Misuse of Drugs Act 1975 within target timeframes

90% 90% 90%

The percentage of all licences and consents issued to radiation users under the Radiation Safety Act 2016 within 10 working days of the receipt of all information and payment of the required fee

90% 100% 90%

The percentage of all New Medicines Applications (for ministerial consent to market) that receive an initial assessment within 200 days

80% 90% 80%

The percentage of all Changed Medicines Notifications (for ministerial consent to market) responded to within 45 days

100% 100% 100%

Average rating for statutory committee satisfaction with secretariat services provided by the Ministry

4 out of 5 or greater 4 4 out of 5 or greater
End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Medicinal Cannabis Scheme - Quality Standards and Licensing 2018/19 582 535 - - -

Previous Government

           
Radiation Safety Act - administration of new regulations 2016/17 574 574 574 574 574
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Memorandum Account
  2018/19 2019/20
  Budgeted
$000
Estimated Actual
$000
Budget
$000

Office of Radiation Safety

     
Opening Balance at 1 July 398 398 398
Revenue 750 750 1,500
Expenses 750 750 1,500

Closing Balance at 30 June

398 398 398

MedSafe

     
Opening Balance at 1 July (1,310) (1,310) (1,310)
Revenue 8,121 8,121 10,121
Expenses 8,121 8,121 10,121

Closing Balance at 30 June

(1,310) (1,310) (1,310)
Sector Planning and Performance (M36)
Scope of Appropriation
This appropriation is limited to advising on and co-ordinating health sector planning and performance improvement; and funding, monitoring, and supporting the governance of, health sector Crown entities, and sector co-ordination.
Expenses and Revenue
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 54,426 52,426 51,026
Revenue from the Crown 54,277 54,277 50,877
Revenue from Others 149 149 149
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve: health sector services are appropriately planned, funded, and monitored; health sector Crown entities, agencies, and companies are appropriately governed; and sector co-ordination is encouraged and assisted.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Planning and funding advice for the financial year is provided to Crown entities by 31 December

Achieved Achieved Achieved

The Ministry provides the Minister with advice of all DHB annual plans by 30 June

Achieved Achieved Achieved

The percentage of monitoring feedback reports about performance supplied to DHBs within agreed timeframes

100% 100% 100%

The percentage of quarterly and monthly monitoring reports about DHBs provided to the Minister within agreed timeframes

100% 55% 100%

The percentage of quarterly and monthly monitoring reports about Crown entities (excluding DHBs) provided to the Minister within agreed timeframes

100% 100% 100%

Maintain the capability and capacity to respond to national emergencies and emerging health threats (see Note 1)

Achieved Achieved Achieved

The percentage of appointments to DHBs and other health Crown entity boards where advice is presented to the Minister prior to the current appointee's term expiring (see Note 2)

95% 91% 95%

Note 1 - Capability and capacity to respond means the Ministry has the necessary systems, procedures, facilities and staffing in place to initiate and manage at the national level the health response to a national emergency or emerging health threat.

Note 2 - Unexpected resignation or departure prior to the expiration of the term is not included.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Infrastructure Support for District Health Boards' Capital Projects 2019/20 - 3,000 4,500 5,500 7,000
Enhancing the Ministry of Health's Capability to Support Government Priorities 2019/20 - 600 600 600 600

2.3 - Departmental Capital Expenditure and Capital Injections

Ministry of Health - Capital Expenditure PLA (M36)
Scope of Appropriation
This appropriation is limited to the purchase or development of assets by and for the use of the Ministry of Health, as authorised by section 24(1) of the Public Finance Act 1989.
Capital Expenditure
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Forests/Agricultural - - -
Land - - -
Property, Plant and Equipment 1,863 1,863 1,163
Intangibles 19,024 14,599 14,837
Other - - -

Total Appropriation

20,887 16,462 16,000
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the renewal, upgrade, or redesign of assets to support the delivery of the Ministry of Health's core functions and responsibilities (refer to Part 2.1).

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Expenditure is in accordance with the Ministry of Health's capital asset management plan

Achieved Achieved Achieved
End of Year Performance Reporting

The Ministry of Health will report performance information for its departmental outputs in its Annual Report.

Reasons for Change in Appropriation

This appropriation decreased by $4.887 million to $16 million. This was due to the forecast funding profile for capital investment.

Capital Injections and Movements in Departmental Net Assets
Ministry of Health
Details of Net Asset Schedule 2018/19
Estimated Actual
$000
2019/20
Projected
$000
Explanation of Projected Movements in 2019/20
Opening Balance 31,451 41,543  
Capital Injections 10,092 3,144 The capital injections for 2018/19 and 2019/20 relate to the National Bowel Screening Programme and the National Screening Solution.
Capital Withdrawals - -  
Surplus to be Retained (Deficit Incurred) - -  
Other Movements - -  

Closing Balance

41,543 44,687  

Part 3 - Details of Non-Departmental Appropriations

3.1 - Non-Departmental Output Expenses

Health and Disability Support Services - Auckland DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Auckland DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,330,189 1,330,189 1,391,484
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Each DHB has a statutory responsibility to prepare:

  • an Annual Plan for approval by the Minister of Health (Section 38 of the New Zealand Public Health and Disability Act 2000) - providing accountability to the Minister of Health
  • a Statement of Performance Expectations (Section 149C of the Crown Entities Act 2004 as amended by the Crown Entities Amendment Act 2013) - providing financial accountability to Parliament and the public annually
  • a Statement of Intent (Section 139 of the Crown Entities Act) - providing accountability to Parliament and the public at least triennially.

These documents are brought together into a single DHB Annual Plan with the Statement of Intent and Statement of Performance Expectations, and is known as the 'Annual Plan'.

The Statement of Performance Expectations provides specific measures/targets for the coming year, with comparative prior year and current year forecast (at a minimum).

Four Output Classes are used by all DHBs to reflect the nature of services provided:

  • Prevention
  • Early Detection and Management
  • Intensive Assessment and Treatment, and
  • Rehabilitation and Support.
End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 53,228 53,228 53,228 53,228
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 951 951 951 951
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 5,963 13,785 14,786 14,786 14,786
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 3,693 3,527 3,327 3,327 3,327
District Health Boards - Additional Support 2018/19 71,115 71,115 71,115 71,115 71,115
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (2,796) (3,320) (6,230) (6,230) (6,230)

Previous Government

           
District Health Boards - Additional support 2017/18 41,419 41,419 41,419 41,419 41,419
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 10,614 10,614 10,614 10,614 10,614
Pharmaceuticals - More Publicly Funded Medicines 2017/18 1,887 1,321 566 566 566
DHB Efficiency Savings 2017/18 (874) (874) (874) (874) (874)
District Health Boards - Additional Support 2016/17 45,255 45,255 45,255 45,255 45,255
More Publicly Funded Medicines 2016/17 2,714 2,527 2,527 2,527 2,527
District Health Board (DHB) Additional Funding for Pressures 2015/16 36,417 36,417 36,417 36,417 36,417
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (1,217) (1,217) (1,217) (1,217) (1,217)
Reasons for Change in Appropriation

This appropriation increases by $61.295 million to $1,391.484 million mainly due to:

  • $53.228 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $7.822 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $951,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $652,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs
  • $300,000 transferred from the National Personal Health Services appropriation, devolving the National Intestinal Failure Service funding to Auckland DHB, and
  • $67,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $566,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $524,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $253,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
  • $187,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $166,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Bay of Plenty DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Bay of Plenty DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 728,953 728,953 762,449
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 30,451 30,451 30,451 30,451
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 561 561 561 561
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 2,253 5,242 5,184 5,184 5,184
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 1,112 1,065 787 787 787
District Health Boards - Additional Support 2018/19 31,327 31,327 31,327 31,327 31,327
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (1,646) (1,955) (3,668) (3,668) (3,668)

Previous Government

           
District Health Boards - Additional support 2017/18 24,622 24,622 24,622 24,622 24,622
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (256) (256) (256) (256) (256)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 1,122 785 337 337 337
DHB Efficiency Savings 2017/18 (524) (524) (524) (524) (524)
District Health Boards - Additional Support 2016/17 28,836 28,836 28,836 28,836 28,836
More Publicly Funded Medicines 2016/17 1,627 1,515 1,515 1,515 1,515
District Health Board (DHB) Additional Funding for Pressures 2015/16 19,107 19,107 19,107 19,107 19,107
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (631) (631) (631) (631) (631)
Reasons for Change in Appropriation

This appropriation increases by $33.496 million to $762.449 million mainly due to:

  • $30.451 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $2.989 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $561,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $375,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $39,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $337,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $309,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $119,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
  • $112,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $47,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Canterbury DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,439,372 1,434,372 1,510,695
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 64,773 64,773 64,773 64,773
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 1,084 1,084 1,084 1,084
Christchurch Terror Attacks - Initial Health Response 2018/19 3,000 - - - -
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 7,014 16,446 16,748 16,748 16,748
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 2,546 2,145 1,354 1,354 1,354
District Health Boards - Additional Support 2018/19 45,104 45,104 45,104 45,104 45,104
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (3,167) (3,762) (7,059) (7,059) (7,059)

Previous Government

           
District Health Boards - Additional Support 2017/18 47,755 47,755 47,755 47,755 47,755
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (2,693) (2,693) (2,693) (2,693) (2,693)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 2,176 1,523 653 653 653
DHB Efficiency Savings 2017/18 (1,055) (1,055) (1,055) (1,055) (1,055)
District Health Boards - Additional Support 2016/17 32,125 32,125 32,125 32,125 32,125
More Publicly Funded Medicines 2016/17 3,147 2,930 2,930 2,930 2,930
Supporting Health Services in Canterbury 2015/16 5,480 - - - -
District Health Board (DHB) Additional Funding for Pressures 2015/16 21,533 21,533 21,533 21,533 21,533
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (670) (670) (670) (670) (670)
Reasons for Change in Appropriation

This appropriation increases by $71.323 million to $1,510.695 million due to:

  • $64.773 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $9.432 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $5.333 million for a technical change in funding due to the difference between capital charge expense and the interest paid on debt
  • $1.084 million for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $765,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $77,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $5.260 million carried forward from 2017/18 to 2018/19 only reflecting the timing of funding for work on earthquake repairs
  • $3 million one-off funding provided in 2018/19 for Budget 2019 initiative Initial Response and Psychosocial Support for Those Affected by the Christchurch Mosque Attack
  • $653,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $595,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $401,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement
  • $217,000 reduction in funding from the Budget 2016 More Publicly Funded Medicines initiative, and
  • $15,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Capital and Coast DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Capital and Coast DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 778,514 778,514 817,679
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 34,281 34,281 34,281 34,281
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 570 570 570 570
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 3,250 7,875 9,221 9,221 9,221
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 2,819 2,891 2,259 2,259 2,259
District Health Boards - Additional Support 2018/19 31,515 31,515 31,515 31,515 31,515
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (1,669) (1,982) (3,718) (3,718) (3,718)

Previous Government

           
District Health Boards - Additional support 2017/18 25,001 25,001 25,001 25,001 25,001
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (3,709) (3,709) (3,709) (3,709) (3,709)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 1,138 797 342 342 342
DHB Efficiency Savings 2017/18 (558) (558) (558) (558) (558)
District Health Boards - Additional Support 2016/17 15,060 15,060 15,060 15,060 15,060
More Publicly Funded Medicines 2016/17 1,656 1,542 1,542 1,542 1,542
District Health Board (DHB) Additional Funding for Pressures 2015/16 11,547 11,547 11,547 11,547 11,547
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (360) (360) (360) (360) (360)
Reasons for Change in Appropriation

This appropriation increases by $39.165 million to $817.679 million mainly due to:

  • $34.281 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $4.625 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $570,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $403,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs
  • $72,000 additional funding for settlement of the DHB Public Service Association multi-employer collective agreement, and
  • $41,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $341,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $313,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $114,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $69,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Counties-Manukau DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Counties-Manukau DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,447,124 1,447,124 1,524,353
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 71,757 71,757 71,757 71,757
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 1,100 1,100 1,100 1,100
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 4,457 10,043 11,316 11,316 11,316
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 2,773 2,869 2,638 2,638 2,638
District Health Boards - Additional Support 2018/19 66,206 66,206 66,206 66,206 66,206
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (3,206) (3,808) (7,146) (7,146) (7,146)

Previous Government

           
District Health Boards - Additional support 2017/18 47,822 47,822 47,822 47,822 47,822
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (6,631) (6,631) (6,631) (6,631) (6,631)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 2,179 1,525 654 654 654
DHB Efficiency Savings 2017/18 (1,044) (1,044) (1,044) (1,044) (1,044)
District Health Boards - Additional Support 2016/17 49,009 49,009 49,009 49,009 49,009
More Publicly Funded Medicines 2016/17 3,176 2,957 2,957 2,957 2,957
District Health Board (DHB) Additional Funding for Pressures 2015/16 21,486 21,486 21,486 21,486 21,486
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (669) (669) (669) (669) (669)
Reasons for Change in Appropriation

This appropriation increases by $77.229 million to $1,524.353 million mainly due to:

  • $71.757 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $5.586 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $1.100 million for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $757,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs
  • $96,000 additional funding for settlement of the DHB Public Service Association multi-employer collective agreement, and
  • $77,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $654,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $654,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
  • $602,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget, and
  • $219,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Hawkes Bay DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Hawkes Bay DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 501,131 501,131 524,166
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 20,414 20,414 20,414 20,414
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 384 384 384 384
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 2,098 4,699 4,314 4,314 4,314
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 856 779 536 536 536
District Health Boards - Additional Support 2018/19 15,924 15,924 15,924 15,924 15,924
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (1,128) (1,340) (2,515) (2,515) (2,515)

Previous Government

           
District Health Boards - Additional Support 2017/18 17,072 17,072 17,072 17,072 17,072
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (1,996) (1,996) (1,996) (1,996) (1,996)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 778 544 233 233 233
DHB Efficiency Savings 2017/18 (370) (370) (370) (370) (370)
District Health Boards - Additional Support 2016/17 10,842 10,842 10,842 10,842 10,842
More Publicly Funded Medicines 2016/17 1,131 1,053 1,053 1,053 1,053
District Health Board (DHB) Additional Funding for Pressures 2015/16 17,053 17,053 17,053 17,053 17,053
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (572) (572) (572) (572) (572)
Reasons for Change in Appropriation

This appropriation increases by $23.035 million to $524.166 million mainly due to:

  • $20.414 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $2.601 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $384,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $277,000 transferred from the National Personal Health Services appropriation, devolving the Budget initiative 2015 Palliative Care Innovations funding to DHBs, and
  • $28,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $234,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $212,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $88,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
  • $78,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $77,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Hutt DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Hutt DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 401,752 401,752 416,836
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 13,086 13,086 13,086 13,086
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 297 297 297 297
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 1,342 3,292 3,360 3,360 3,360
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 892 827 558 558 558
District Health Boards - Additional Support 2018/19 13,119 13,119 13,119 13,119 13,119
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (874) (1,038) (1,948) (1,948) (1,948)

Previous Government

           
District Health Boards - Additional support 2017/18 13,155 13,155 13,155 13,155 13,155
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (3,656) (3,656) (3,656) (3,656) (3,656)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 599 420 180 180 180
DHB Efficiency Savings 2017/18 (302) (302) (302) (302) (302)
District Health Boards - Additional Support 2016/17 7,980 7,980 7,980 7,980 7,980
More Publicly Funded Medicines 2016/17 873 813 813 813 813
District Health Board (DHB) Additional Funding for Pressures 2015/16 6,138 6,138 6,138 6,138 6,138
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (191) (191) (191) (191) (191)
Reasons for Change in Appropriation

This appropriation increases by $15.084 million to $416.836 million mainly due to:

  • $13.086 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $1.950 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $297,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $217,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $22,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $179,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $164,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $65,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement
  • $60,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $30,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Lakes DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Lakes DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 327,563 327,563 340,415
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 11,391 11,391 11,391 11,391
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 250 250 250 250
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 1,026 2,315 2,350 2,350 2,350
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 427 404 265 265 265
District Health Boards - Additional Support 2018/19 12,019 12,019 12,019 12,019 12,019
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (740) (879) (1,650) (1,650) (1,650)

Previous Government

           
District Health Boards - Additional support 2017/18 11,157 11,157 11,157 11,157 11,157
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 3,454 3,454 3,454 3,454 3,454
Pharmaceuticals - More Publicly Funded Medicines 2017/18 508 356 152 152 152
DHB Efficiency Savings 2017/18 (236) (236) (236) (236) (236)
District Health Boards - Additional Support 2016/17 13,935 13,935 13,935 13,935 13,935
More Publicly Funded Medicines 2016/17 731 680 680 680 680
District Health Board (DHB) Additional Funding for Pressures 2015/16 5,519 5,519 5,519 5,519 5,519
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (162) (162) (162) (162) (162)
Reasons for Change in Appropriation

This appropriation increases by $12.852 million to $340.415 million mainly due to:

  • $11.391 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $1.289 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $250,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $173,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $18,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $152,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $139,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $129,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
  • $51,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $23,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - MidCentral DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 515,382 515,382 540,792
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 22,680 22,680 22,680 22,680
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 400 400 400 400
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 1,926 4,604 4,498 4,498 4,498
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 763 662 418 418 418
District Health Boards - Additional Support 2018/19 18,596 18,596 18,596 18,596 18,596
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (1,173) (1,393) (2,614) (2,614) (2,614)

Previous Government

           
District Health Boards - Additional support 2017/18 17,681 17,681 17,681 17,681 17,681
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (5,496) (5,496) (5,496) (5,496) (5,496)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 806 564 242 242 242
DHB Efficiency Savings 2017/18 (389) (389) (389) (389) (389)
District Health Boards - Additional Support 2016/17 15,229 15,229 15,229 15,229 15,229
More Publicly Funded Medicines 2016/17 1,180 1,099 1,099 1,099 1,099
District Health Board (DHB) Additional Funding for Pressures 2015/16 7,894 7,894 7,894 7,894 7,894
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (245) (245) (245) (245) (245)
Reasons for Change in Appropriation

This appropriation increases by $25.410 million to $540.792 million mainly due to:

  • $22.680 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $2.678 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $400,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $283,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $29,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $242,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $220,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $101,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement
  • $81,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $26,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Nelson-Marlborough DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Nelson-Marlborough DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 442,103 442,103 462,233
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 18,566 18,566 18,566 18,566
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 340 340 340 340
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 929 2,262 2,375 2,375 2,375
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 1,224 1,312 1,181 1,181 1,181
District Health Boards - Additional Support 2018/19 20,417 20,417 20,417 20,417 20,417
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (996) (1,183) (2,220) (2,220) (2,220)

Previous Government

           
District Health Boards - Additional support 2017/18 14,852 14,852 14,852 14,852 14,852
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (137) (137) (137) (137) (137)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 677 474 203 203 203
DHB Efficiency Savings 2017/18 (320) (320) (320) (320) (320)
District Health Boards - Additional Support 2016/17 8,783 8,783 8,783 8,783 8,783
More Publicly Funded Medicines 2016/17 980 913 913 913 913
District Health Board (DHB) Additional Funding for Pressures 2015/16 15,315 15,315 15,315 15,315 15,315
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (515) (515) (515) (515) (515)
Reasons for Change in Appropriation

This appropriation increases by $20.130 million to $462.233 million due to:

  • $18.566 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $1.333 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $340,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $236,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs
  • $88,000 for settlement of the DHB Public Service Association multi-employer collective agreement, and
  • $24,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $203,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $187,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget, and
  • $67,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Northland DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Northland DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 603,896 603,896 632,077
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 25,827 25,827 25,827 25,827
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 464 464 464 464
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 1,950 4,415 4,267 4,267 4,267
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 1,252 1,202 942 942 942
District Health Boards - Additional Support 2018/19 36,358 36,358 36,358 36,358 36,358
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (1,360) (1,615) (3,030) (3,030) (3,030)

Previous Government

           
District Health Boards - Additional support 2017/18 20,266 20,266 20,266 20,266 20,266
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 6,297 6,297 6,297 6,297 6,297
Pharmaceuticals - More Publicly Funded Medicines 2017/18 923 646 277 277 277
DHB Efficiency Savings 2017/18 (409) (409) (409) (409) (409)
District Health Boards - Additional Support 2016/17 25,022 25,022 25,022 25,022 25,022
More Publicly Funded Medicines 2016/17 1,331 1,239 1,239 1,239 1,239
District Health Board (DHB) Additional Funding for Pressures 2015/16 21,713 21,713 21,713 21,713 21,713
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (734) (734) (734) (734) (734)
Reasons for Change in Appropriation

This appropriation increases by $28.181 million to $632.077 million due to:

  • $25.827 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $2.465 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $464,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $315,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $32,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $277,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $255,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $248,000 transferred to the Primary Health Care Strategy appropriation to support the Budget initiative 2018 Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
  • $92,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $50,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - South Canterbury DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from South Canterbury DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 182,428 182,428 190,066
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 6,679 6,679 6,679 6,679
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 140 140 140 140
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 698 1,631 1,525 1,525 1,525
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 187 151 91 91 91
District Health Boards - Additional Support 2018/19 4,830 4,830 4,830 4,830 4,830
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (412) (490) (919) (919) (919)

Previous Government

           
District Health Boards - Additional support 2017/18 6,248 6,248 6,248 6,248 6,248
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (1,178) (1,178) (1,178) (1,178) (1,178)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 285 199 85 85 85
DHB Efficiency Savings 2017/18 (140) (140) (140) (140) (140)
District Health Boards - Additional Support 2016/17 3,695 3,695 3,695 3,695 3,695
More Publicly Funded Medicines 2016/17 415 386 386 386 386
District Health Board (DHB) Additional Funding for Pressures 2015/16 2,836 2,836 2,836 2,836 2,836
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (88) (88) (88) (88) (88)
Reasons for Change in Appropriation

This appropriation increases by $7.638 million to $190.066 million mainly due to:

  • $6.679 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $933,000 uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $140,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $102,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $10,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $86,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $78,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $36,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement, and
  • $29,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Southern DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Southern DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 884,027 884,027 926,825
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 37,872 37,872 37,872 37,872
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 675 675 675 675
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 3,609 8,366 7,715 7,715 7,715
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 1,707 1,593 1,133 1,133 1,133
District Health Boards - Additional Support 2018/19 31,932 31,932 31,932 31,932 31,932
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (1,977) (2,348) (4,406) (4,406) (4,406)

Previous Government

           
District Health Boards - Additional support 2017/18 29,681 29,681 29,681 29,681 29,681
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (5,668) (5,668) (5,668) (5,668) (5,668)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 1,352 947 406 406 406
DHB Efficiency Savings 2017/18 (651) (651) (651) (651) (651)
District Health Boards - Additional Support 2016/17 27,256 27,256 27,256 27,256 27,256
More Publicly Funded Medicines 2016/17 1,975 1,839 1,839 1,839 1,839
District Health Board (DHB) Additional Funding for Pressures 2015/16 13,329 13,329 13,329 13,329 13,329
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (415) (415) (415) (415) (415)
Reasons for Change in Appropriation

This appropriation increases by $42.798 million to $926.825 million mainly due to:

  • $37.872 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $4.757 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $675,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $475,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $47,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $405,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $371,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $136,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines
  • $114,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement, and
  • $17,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Tairawhiti DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 166,215 166,215 171,979
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 5,104 5,104 5,104 5,104
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 127 127 127 127
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 546 1,265 1,215 1,215 1,215
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 283 267 184 184 184
District Health Boards - Additional Support 2018/19 4,986 4,986 4,986 4,986 4,986
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (375) (445) (835) (835) (835)

Previous Government

           
District Health Boards - Additional support 2017/18 5,661 5,661 5,661 5,661 5,661
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 459 459 459 459 459
Pharmaceuticals - More Publicly Funded Medicines 2017/18 258 181 77 77 77
DHB Efficiency Savings 2017/18 (120) (120) (120) (120) (120)
District Health Boards - Additional Support 2016/17 7,054 7,054 7,054 7,054 7,054
More Publicly Funded Medicines 2016/17 374 348 348 348 348
District Health Board (DHB) Additional Funding for Pressures 2015/16 2,487 2,487 2,487 2,487 2,487
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (77) (77) (77) (77) (77)
Reasons for Change in Appropriation

This appropriation increases by $5.764 million to $171.979 million due to:

  • $5.104 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $719,000 uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $127,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $88,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $10,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $95,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
  • $77,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $70,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $26,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $16,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Taranaki DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 349,770 349,770 362,111
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 10,787 10,787 10,787 10,787
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 261 261 261 261
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 1,097 2,622 2,847 2,847 2,847
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 473 428 276 276 276
District Health Boards - Additional Support 2018/19 10,296 10,296 10,296 10,296 10,296
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (770) (914) (1,715) (1,715) (1,715)

Previous Government

           
District Health Boards - Additional support 2017/18 11,616 11,616 11,616 11,616 11,616
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (3,474) (3,474) (3,474) (3,474) (3,474)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 529 370 159 159 159
DHB Efficiency Savings 2017/18 (258) (258) (258) (258) (258)
District Health Boards - Additional Support 2016/17 6,998 6,998 6,998 6,998 6,998
More Publicly Funded Medicines 2016/17 774 721 721 721 721
District Health Board (DHB) Additional Funding for Pressures 2015/16 13,610 13,610 13,610 13,610 13,610
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (460) (460) (460) (460) (460)
Reasons for Change in Appropriation

This appropriation increases by $12.341 million to $362.111 million due to:

  • $10.787 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $1.525 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $261,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $195,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $18,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $159,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $144,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $53,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines
  • $45,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement, and
  • $44,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Waikato DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Waikato DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,206,301 1,206,301 1,262,909
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 49,732 49,732 49,732 49,732
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 898 898 898 898
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 6,353 13,229 11,383 11,383 11,383
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 2,285 2,206 1,698 1,698 1,698
District Health Boards - Additional Support 2018/19 49,816 49,816 49,816 49,816 49,816
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (2,637) (3,132) (5,877) (5,877) (5,877)

Previous Government

           
District Health Boards - Additional support 2017/18 39,525 39,525 39,525 39,525 39,525
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 4,385 4,385 4,385 4,385 4,385
Pharmaceuticals - More Publicly Funded Medicines 2017/18 1,801 1,260 540 540 540
DHB Efficiency Savings 2017/18 (827) (827) (827) (827) (827)
District Health Boards - Additional Support 2016/17 49,121 49,121 49,121 49,121 49,121
More Publicly Funded Medicines 2016/17 2,601 2,422 2,422 2,422 2,422
District Health Board (DHB) Additional Funding for Pressures 2015/16 43,957 43,957 43,957 43,957 43,957
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (1,474) (1,474) (1,474) (1,474) (1,474)
Reasons for Change in Appropriation

This appropriation increases by $56.608 million to $1,262.909 million due to:

  • $49.732 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $6.876 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $898,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $623,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $64,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $541,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $495,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $291,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
  • $179,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $79,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Wairarapa DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 140,650 140,650 149,112
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 7,853 7,853 7,853 7,853
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 110 110 110 110
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 415 990 1,100 1,100 1,100
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 106 98 70 70 70
District Health Boards - Additional Support 2018/19 5,092 5,092 5,092 5,092 5,092
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (317) (377) (707) (707) (707)

Previous Government

           
District Health Boards - Additional support 2017/18 4,760 4,760 4,760 4,760 4,760
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (1,478) (1,478) (1,478) (1,478) (1,478)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 217 152 65 65 65
DHB Efficiency Savings 2017/18 (104) (104) (104) (104) (104)
District Health Boards - Additional Support 2016/17 2,826 2,826 2,826 2,826 2,826
More Publicly Funded Medicines 2016/17 316 294 294 294 294
District Health Board (DHB) Additional Funding for Pressures 2015/16 5,462 5,462 5,462 5,462 5,462
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (185) (185) (185) (185) (185)
Reasons for Change in Appropriation

This appropriation increases by $8.462 million to $149.112 million due to:

  • $7.853 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $575,000 uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $110,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $78,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $9,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $65,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $60,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $22,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines
  • $8,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs, and
  • $8,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Waitemata DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,541,548 1,541,548 1,622,080
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 75,057 75,057 75,057 75,057
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 1,139 1,139 1,139 1,139
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 4,040 9,362 9,737 9,737 9,737
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 4,748 4,675 4,262 4,262 4,262
District Health Boards - Additional Support 2018/19 70,419 70,419 70,419 70,419 70,419
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (3,319) (3,942) (7,398) (7,398) (7,398)

Previous Government

           
District Health Boards - Additional support 2017/18 49,544 49,544 49,544 49,544 49,544
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 12,603 12,603 12,603 12,603 12,603
Pharmaceuticals - More Publicly Funded Medicines 2017/18 2,257 1,580 677 677 677
DHB Efficiency Savings 2017/18 (1,072) (1,072) (1,072) (1,072) (1,072)
District Health Boards - Additional Support 2016/17 43,950 43,950 43,950 43,950 43,950
More Publicly Funded Medicines 2016/17 3,251 3,027 3,027 3,027 3,027
District Health Board (DHB) Additional Funding for Pressures 2015/16 29,893 29,893 29,893 29,893 29,893
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (965) (965) (965) (965) (965)
Reasons for Change in Appropriation

This appropriation increases by $80.532 million to $1,622.080 million mainly due to:

  • $75.057 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $5.322 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $1.139 million for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $787,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $80,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $677,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $623,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $224,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines
  • $216,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs, and
  • $73,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - West Coast DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from West Coast DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 133,949 133,949 137,668
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 2,978 2,978 2,978 2,978
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 86 86 86 86
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 518 1,227 1,146 1,146 1,146
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 488 486 404 404 404
District Health Boards - Additional Support 2018/19 2,876 2,876 2,876 2,876 2,876
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (256) (305) (571) (571) (571)

Previous Government

           
District Health Boards - Additional support 2017/18 3,896 3,896 3,896 3,896 3,896
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (781) (781) (781) (781) (781)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 177 124 53 53 53
DHB Efficiency Savings 2017/18 (86) (86) (86) (86) (86)
District Health Boards - Additional Support 2016/17 2,608 2,608 2,608 2,608 2,608
More Publicly Funded Medicines 2016/17 264 246 246 246 246
District Health Board (DHB) Additional Funding for Pressures 2015/16 2,019 2,019 2,019 2,019 2,019
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (64) (64) (64) (64) (64)
Reasons for Change in Appropriation

This appropriation increases by $3.719 million to $137.668 million due to:

  • $2.978 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $709,000 uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $86,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $62,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
  • $6,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.

This increase is partly offset by:

  • $53,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $49,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $18,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $2,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health and Disability Support Services - Whanganui DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 226,852 226,852 234,337
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 - 6,484 6,484 6,484 6,484
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 - 163 163 163 163
Settlement of the NZNO Nurses Multi-Employer Collective Agreement 2018/19 768 1,724 1,739 1,739 1,739
Funding the DHB PSA Multi-Employer Collective Agreements 2018/19 462 467 352 352 352
District Health Boards - Additional Support 2018/19 7,053 7,053 7,053 7,053 7,053
Savings in the PHARMAC Combined Pharmaceuticals Budget 2018/19 (482) (572) (1,074) (1,074) (1,074)

Previous Government

           
District Health Boards - Additional support 2017/18 7,267 7,267 7,267 7,267 7,267
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative 2017/18 (659) (659) (659) (659) (659)
Pharmaceuticals - More Publicly Funded Medicines 2017/18 331 232 99 99 99
DHB Efficiency Savings 2017/18 (161) (161) (161) (161) (161)
District Health Boards - Additional Support 2016/17 4,416 4,416 4,416 4,416 4,416
More Publicly Funded Medicines 2016/17 484 449 449 449 449
District Health Board (DHB) Additional Funding for Pressures 2015/16 3,405 3,405 3,405 3,405 3,405
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (106) (106) (106) (106) (106)
Reasons for Change in Appropriation

This appropriation increases by $7.485 million to $234.337 million mainly due to:

  • $6.484 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
  • $956,000 uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $163,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
  • $118,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs
  • $11,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs, and
  • $5,000 for settlement of the DHB Public Service Association multi-employer collective agreement.

This increase is partly offset by:

  • $99,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $90,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
  • $35,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
  • $32,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Health Services Funding (M36)
Scope of Appropriation
This appropriation is limited to initiatives to improve the financial sustainability and performance of District Health Boards.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation - - 23,681
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve long-term financial sustainability in the financial performance of District Health Boards.

How Performance will be Assessed and End of Year Reporting Requirements

Performance information for this appropriation will be provided in 2019/20 Supplementary Estimates.

End of Year Performance Reporting

The performance measures for this appropriation will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Improving the Financial Sustainability and Performance of District Health Boards 2019/20 - 23,681 23,681 23,681 23,681
Reasons for Change in Appropriation

This is a new appropriation for 2019/20 with funding of $23.681 million for the Budget 2019 initiative Improving the Financial Sustainability and Performance of District Health Boards.

Health Workforce Training and Development (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of workforce development for people working in the health and disability sector and of services that support those workforces to be sustainable, flexible, and fit-for-purpose.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 187,120 187,120 211,641
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the following: the New Zealand health sector is supported to develop a sustainable, flexible, and fit-for-purpose workforce through the funding of clinical training and other initiatives.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Medicine Workforce

     

The number of first year general practitioner trainees supported by the Ministry of Health funding is equal to or greater than

180 180 180

Percentage of vocationally registered general practitioners trained in New Zealand with support from Ministry of Health funding who are still practising in New Zealand after:

     
  • two years is equal to or greater than
80% 92% 80%
  • five years is equal to or greater than
80% 78% 80%

The number of training units for vocational registrars (excluding general practitioners) supported by Ministry of Health funding is equal to or greater than

1,206 1,206 1,206

Percentage of vocationally registered specialist doctors (excluding general practitioners) trained in New Zealand with support from Ministry of Health funding who are still practising in New Zealand after:

     
  • two years is equal to or greater than
70% 82% 70%
  • five years is equal to or greater than
80% 80% 80%

The number of post-graduate year one trainees supported by Ministry of Health funding is equal to or greater than

490 490 490

Percentage of post-graduate year one trainees trained in New Zealand with support from Ministry of Health funding who were still practising in New Zealand after:

     
  • two years is equal to or greater than
90% 91% 90%
  • five years is equal to or greater than
85% 90% 85%

Nursing Workforce

     

The number of Nursing Entry to Practice trainees supported by Ministry of Health funding is equal to or greater than

1,135 1,131 1,135

The number of New Entry to Specialty Practice nurse trainees supported by Ministry of Health funding is equal to or greater than

155 155 160

Midwifery Workforce

     

The number of midwifery first year of practice trainees supported by Ministry of Health funding is equal to or greater than

161 161 161

Percentage of graduates who complete the Midwifery First Year of Practice Training Programme

90% 90% 90%

Mental Health Workforce

     

Number workers who achieve a Mental Health and Addiction related qualification through Ministry of Health funded workforce development training programmes

- - 770

Disability Support Workers

     

Number of disability workers working towards a disability related qualification with support from Ministry of Health grants through disability workforce development programmes

- - 3250

Voluntary Bonding Scheme (VBS)

     

People are being retained in the scheme: The percentage of registrants who applied for payment in the previous year who applied for payment in the current academic year, where this is allowable under the terms of the scheme

75% 75% 75%

Hauora Maori Support

     

Percentage of trainees that passed the course they enrolled in

80% 80% 80%
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 122,049 122,049 Not yet known Ongoing
University of Auckland 3,516 3,516 Not yet known Ongoing
Auckland UniServices Limited 2,558 2,558 Not yet known Ongoing
University of Otago 1,972 1,972 Not yet known Ongoing

Non-Governmental Organisations

       
Royal New Zealand College of General Practitioners 22,060 22,060 Not yet known Ongoing
Te Pou Limited 15,850 15,850 Not yet known Ongoing
Te Rau Matatini Limited 4,992 4,992 Not yet known Ongoing
New Zealand College of Midwives 3,561 3,561 Not yet known Ongoing
Other NGOs 10,562 10,562 Not yet known Ongoing

Total

187,120

187,120

211,641

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Expanding Access and Choice of Primary Mental Health and Addiction Support 2019/20 - 13,888 18,186 22,330 22,664
Nursing Workforce Accord - Providing Additional Places for Nurse Entry to Practice 2019/20 - 6,133 6,133 6,133 6,133
Health Workforce Training and Development to Benefit Rural and Regional Areas 2019/20 - 4,563 4,563 4,563 4,563
Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018 2018/19 455 472 - - -

Previous Government

           
Health Workforce Training and Development - Additional support 2017/18 1,919 1,919 1,919 1,919 1,919
Health Workforce Training and Development - Additional Support 2016/17 2,695 2,695 2,695 2,695 2,695
Reasons for Change in Appropriation

This appropriation increases by $24.521 million to $211.641 million mainly due to:

  • $13.888 million for the Budget 2019 initiative Expanding Access and Choice of Primary Mental Health and Addiction Support
  • $6.133 million for the Budget 2019 initiative Nursing Workforce Accord - Providing Additional Places for Nurse Entry to Practice, and
  • $4.563 million for the Budget 2019 initiative Health Workforce Training and Development to Benefit Rural and Regional Areas.
Monitoring and Protecting Health and Disability Consumer Interests (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of services that monitor and protect health and disability consumer interests.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 29,546 29,546 31,546
What is Intended to be Achieved with this Appropriation

This appropriation is intended to protect the rights of people using health and disability services. This includes addressing the concerns of whanau and investigating alleged breaches of patients' rights.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Mental health reviews and inquiries

     

The percentage of District Mental Health Inspectors' monthly reports, on their duties undertaken, sent to the Director of Mental Health, within one month after completion

90% 90% 90%

The annual report by the Mental Health Review Tribunal, on their duties undertaken, to the Director of Mental Health, by the due date (31 October)

Achieved Achieved Achieved

Number of Mental Health Tribunal review quarterly reports provided to the Director of Mental Health within agreed contract timeframes

4 4 4

The start of the Mental Health Tribunal review is held within 28 days of receipt of the application

80% 80% 80%
Health and Disability Commissioner

The performance measures are those contained in the Crown entity's Statement of Performance Expectations.

Health Quality and Safety Commission

The performance measures are those contained in the Crown entity's Statement of Performance Expectations.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations; Crown entity performance information will be reported in their respective Annual Reports.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
Health Quality & Safety Commission 13,476 13,476 Not yet known Ongoing
Health & Disability Commissioner 12,870 12,870 Not yet known Ongoing
Mental Health District Inspectors 3,200 3,200 Not yet known Ongoing

Total

29,546

29,546

31,546

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Establishing a New Mental Health and Wellbeing Commission 2019/20 - 2,000 2,000 2,000 2,000

Previous Government

           
Severe Acute Maternal Morbidity (SAMM) audit 2015/16 500 500 500 500 500
National Child Health Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of child health services.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 93,254 93,254 112,980
What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide services that support the development of New Zealand children and establish a foundation for those children to live longer, healthier, and more independent lives.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Infants receive their full Well Child/Tamariki Ora (WCTO) Entitlement

     

Percentage of enrolled infants (0-12 months) who receive all core WCTO contacts (see Note 1)

85% 85% 85%

Telephone information and advisory services delivered by Plunketline to support the Well Child/Tamaki Ora Framework:

     
  • The percentage of time the phone line service is available 24/7 is greater than or equal to
99% 100% 99%

B4 School Checks (B4SCs)

     

Percentage of the population delivered B4SCs

90% 90% 90%

Percentage of the high deprivation population delivered B4SCs

90% 90% 90%

Note 1 - Enrolling with a WCTO provider at birth or as soon as possible thereafter allows sufficient time for WCTO providers to deliver the first core contact on time at around 6 weeks and therefore meet the quality indicator of delivering the full entitlement to children in the first year of life (if core 1 is missed, they are unable to meet the full entitlement measure).

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 33,358 33,358 Not yet known Ongoing

Non-Governmental Organisations

       
Royal New Zealand Plunket Society 57,310 57,310 Not yet known Ongoing
Other NGOs 2,586 2,586 Not yet known Ongoing

Total

93,254

93,254

112,980

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Increasing Access to and Modernising Child Development Services to Improve the Health and Social Outcomes of Children with Additional Needs 2019/20 - 8,750 8,750 8,750 8,750
Expanding and Enhancing School Based Health Services 2019/20 - 4,976 4,626 4,626 4,626
Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years 2019/20 - 10,000 - - -
Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years 2018/19 4,000 - - - -
Expansion of School Based Health Services 2018/19 4,253 4,253 4,253 4,253 4,253

Previous Government

           
School-Based Health Services - Additional Support 2016/17 70 70 70 70 70
National Child Health Services - Pressure 2015/16 2,961 2,961 2,961 2,961 2,961
Reasons for Change in Appropriation

This appropriation increases by $19.726 million to $112.980 million due to:

  • $10 million for the Budget 2019 initiative Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years
  • $8.750 million for the Budget 2019 initiative Increasing Access to and Modernising Child Development Services to Improve the Health and Social Outcomes of Children with Additional Needs, and
  • $4.976 million for the Budget 2019 initiative Expanding and Enhancing School Based Health Services.

This increase is partly offset by $4 million for 2018/19 only for Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years.

Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
National Contracted Services - Other (M36)
Scope of Appropriation
This appropriation is limited to the purchase of other services directly by the Crown to support the health and disability services sector, including the national management of pharmaceuticals, and health research.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 23,488 23,488 23,488
What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide for the operating costs of PHARMAC to deliver health-related services that align with Government priorities or the strategic direction for health services (see the Ministry of Health's Statement of Strategic Intentions) but are out of scope for other national services appropriations in Vote Health.

How Performance will be Assessed and End of Year Reporting Requirements

The performance measures are those contained in PHARMAC's statement of performance expectations.

End of Year Performance Reporting

Performance information for this appropriation will be reported by PHARMAC in its annual report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Previous Government

           
Healthy Homes Initiative - Expansion 2016/17 4,500 4,500 4,500 4,500 4,500
Other Nationally Purchased Health Services - Additional Support 2016/17 400 400 400 400 400
Palliative Care Community Service Support Roles 2015/16 7,000 7,000 7,000 7,000 7,000
Conditions on Use of Appropriation
Reference Conditions
New Zealand Pubic Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
National Disability Support Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of disability support services.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,351,707 1,351,707 1,344,646
Components of the Appropriation
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Residential Care 575,402 580,607 Not yet known
Community Care 355,369 358,388 Not yet known
Environmental Support 167,388 167,500 Not yet known
Funded Family Care 11,804 11,827 Not yet known
Other disability support services 241,744 233,385 Not yet known

Total

1,351,707

1,351,707

1,344,646

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide support for disabled people and their families/whanau to enable them to live good lives.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Needs Assessment and Service Co-ordination

     

All new eligible Disability Support Services clients are assessed within 20 days of referral is equal to or greater than

80% 85% 80%

All new clients assessed as being eligible for Ministry-funded support are provided with their support options within 20 days of assessment is equal to or greater than

85% 90% 85%

Community Support Services

     

The percentage of self-directed funding arrangements to improve the person's choice, control and flexibility, (e.g. Choices in Community Living, Individualised Funding, Enhanced Individualised Funding, Flexible Disability Supports, Personal Budgets and Enabling Good Lives) within the total client population is greater than or equal to

10% 15% 10%

The percentage of people engaged in early intervention by completing Behaviour Support Treatment Programme to prevent inappropriate behaviour from becoming permanent is greater than or equal to

75% 75% 75%

Residential to Community Support Services

     

Percentage of Disability Support Service clients moving from mainstream residential service to community support services increases over time so that the percentage receiving community support services is greater than or equal to

77% 77% 77%

Environmental Support

     

The percentage of equipment available and supplied from the Ministry of Health's standardised equipment list to ensure value for money is greater than or equal to

75% 75% 75%

Quality

     

The percentage of services that have implemented audit/evaluation requirements within the time required by the auditor

90% 100% 90%

Stakeholder Engagement

     

Percentage of stakeholders surveyed assess the engagement and content of the DSS external forums (e.g. Consumer Consortium, Provider Forums etc.) as meeting expectations or above

80% 85% 80%
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 151,594 151,594 Not yet known Ongoing
Enable New Zealand (an operating division of MidCentral DHB) 107,195 107,195 Not yet known Ongoing

Non-Governmental Organisations

       
IDEA Services Limited 209,785 209,785 Not yet known Ongoing
NZ Care Group 75,186 75,186 Not yet known Ongoing
Manawanui in Charge Ltd 67,849 67,849 Not yet known Ongoing
Spectrum Care Trust 51,386 51,386 Not yet known Ongoing
Environmental Health Management Services Limited 30,491 30,491 Not yet known Ongoing
Healthcare of New Zealand Limited 30,161 30,161 Not yet known Ongoing
Geneva Healthcare Limited 28,983 28,983 Not yet known Ongoing
Te Roopu Taurima O Manukau Trust 28,783 28,783 Not yet known Ongoing
Hohepa Services Limited 24,607 24,607 Not yet known Ongoing
Community Living Limited 21,993 21,993 Not yet known Ongoing
Other NGOs 523,694 523,694 Not yet known Ongoing

Total

1,351,707

1,351,707

1,344,646

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Funding the Growth in In-Between Travel for Home and Community Support 2020/21 - - 39,440 39,440 39,440
Meeting Minimum Wage Obligations under the Home and Community Support (Payment for Travel Between Clients) Settlement Act 2019/20 - 5,756 5,756 5,756 5,756
Disability Support Services - Maintaining Health Services for Disabled New Zealanders 2018/19 60,400 72,000 72,000 72,000 72,000
Disability Support System Transformation - MidCentral Prototype 2018/19 112 220 - - -
Transforming the Disability Support System drawdown from Contingency Fund 2018/19 5,622 4,829 - - -
Disability Support Services - Additional Support 2017/18 58,407 54,407 46,407 42,407 42,407

Previous Government

           
Disability Support Services - Additional support 2017/18 44,562 44,562 44,562 44,562 44,562
Disability Support Services - Additional support 2016/17 42,296 42,296 42,296 42,296 42,296
In-Between Travel 2015/16 14,000 14,000 14,000 14,000 14,000
Disability Support: Community Residential Services - Pressure 2015/16 12,307 12,307 12,307 12,307 12,307
Disability Support Services - Pressures 2015/16 9,800 9,800 9,800 9,800 9,800
Disability Support: Home and Community Support Services - Pressure 2015/16 6,090 6,090 6,090 6,090 6,090
Disability Support: Environmental Support Services - Pressure 2015/16 2,241 2,241 2,241 2,241 2,241
Disability Support: Other Services and Minimum Wage Increase - Pressure 2015/16 5,683 5,683 5,683 5,683 5,683
Disability Support: High and Complex Services Cost Pressure 2015/16 510 510 510 510 510
Reasons for Change in Appropriation

This appropriation decreases by $7.061 million to $1,344.646 million mainly due to:

  • $21.300 million of funding reprioritised from Public Health Service Purchasing, Primary Health Care Strategy, National Emergency Services and National Personal Health Services appropriations in 2018/19 only to meet pressures on disability support services
  • $4 million reduction in 2019/20 for the Budget 2018 initiative Disability Support Services - Additional Support, and
  • $793,000 reduction in funding from the initiative Transforming the Disability Support System drawdown from Contingency Fund.

This decrease is partly offset by:

  • $11.6 million uplift in 2019/20 from the Budget 2019 initiative Disability Support Services - Maintaining Health Services for Disabled New Zealanders, which increases the funding received from $60.400 million in 2018/19 to $72 million in 2019/20
  • $5.756 million for the Budget 2019 initiative Meeting Minimum Wage Obligations under the Home and Community Support (Payment for Travel Between Clients) Settlement Act, and
  • $1.828 million transfer from Vote Social Development for Disability Support System Transformation - MidCentral Prototype.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
New Zealand Public Health and Disability Act 2000 Sections 70A - 70E provide that the Ministry may pay family members for providing support care to their disabled children only where expressly permitted under an applicable family care policy (or otherwise expressly authorised by law).
Section 70E in particular bars complaints of discrimination based on such policies to the Human Rights Commission/courts/tribunals (subject to certain conditions).
Disabled Persons Community Welfare Act 1975 Section 25A sets out the right of review for persons in residential care to assess the adequacy of the disability services or whether or not the person's needs are appropriately met.
National Emergency Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of emergency services.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 124,313 120,313 150,319
What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide emergency services to assist people who require urgent acute health care (for example, air and road ambulances) are provided in a timely fashion.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Emergency calls are triaged and services dispatched effectively and efficiently:

     
  • Call response times - percentage of calls answered in 15 seconds
95% 95% 95%

Ambulance response times - for immediately life-threatening incidents an ambulance reaches the scene within:

     
  • Urban reached in 8 minutes
50% 52% 50%
  • Urban reached in 20 minutes
95% 95% 95%
  • Rural reached in 12 minutes
50% 50% 50%
  • Rural reached in 30 minutes
95% 95% 95%

Percentage of air ambulance activations that are within the target times:

     
  • Day response in 10 minutes
50% 62% 55%
  • Night response in 20 minutes
50% 79% 55%
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Non-Governmental Organisations

       
Order of St John 87,861 87,861 Not yet known Ongoing
Air Ambulance Providers 23,180 19,180 Not yet known Ongoing
Wellington Free Ambulance Service 10,566 10,566 Not yet known Ongoing
Central Emergency Communications Ltd 2,706 2,706 Not yet known Ongoing

Total

124,313

120,313

150,319

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Improving the Financial Sustainability and Performance of Emergency Services 2019/20 - 13,430 7,570 - -
Supporting the Continued Delivery of Emergency Ambulance Services 2019/20 - 4,301 4,301 4,301 4,301
Radio Assurance 2018/19 3,740 - - - -
Meeting Air Ambulance Service Cost Pressures 2018/19 14,700 14,700 14,700 14,700 14,700

Previous Government

           
Emergency Ambulance Services - additional support 2017/18 11,571 14,571 17,571 17,571 17,571
Ambulance Services - Additional Support 2016/17 3,711 3,711 3,711 3,711 3,711
Ambulance Services - Pressure 2015/16 3,350 3,350 3,350 3,350 3,350
Reasons for Change in Appropriation

This appropriation increases by $26.006 million to $150.319 million mainly due to:

  • $13.430 million for the Budget 2019 initiative Improving the Financial Sustainability and Performance of Emergency Services
  • $4.301 million for the Budget 2019 initiative Supporting the Continued Delivery of Emergency Ambulance Services
  • $3.740 million transferred from 2018/19 to 2019/20 for the Budget 2018 initiative Radio Assurance
  • $3.500 million reprioritised in 2018/19 only to help address pressures on disability and mental health services, and
  • $3 million uplift in 2019/20 for the Budget 2017 initiative Emergency Ambulance Services - additional support.

This increase is partly offset by $1.956 million carried forward from 2017/18 to 2018/19 for the Whole of Government Radio Network.

National Health Information Systems (M36)
Scope of Appropriation
This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 8,042 5,242 8,382
What is Intended to be Achieved with this Appropriation

This appropriation is intended to fund or purchase health information systems on behalf of the health and social sectors, making that procurement more efficient and effective.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

The percentage of scheduled updates to the New Zealand Formulary, a key sector independent resource, providing healthcare professionals with the clinically validated medicines for patients, delivered in line with contractual requirements

100% 100% 100%
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Non-Governmental Organisations

       
New Zealand Medicines Formulary Limited Partnership 2,214 2,214 Not yet known Ongoing
Momentum Health Care Incorporated 1,102 1,102 Not yet known Ongoing
Other NGOs 4,726 1,926 Not yet known Ongoing

Total

8,042

5,242

8,382

 
National Maori Health Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of health and disability services that are either for Maori or by Maori.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 6,828 6,828 6,828
What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide support and encouragement for (i) health services provided by Maori, and (ii) for health services for Maori.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Funding and purchasing of services to reduce Maori health disparities and improve Maori health outcomes

     
Rongoa (traditional Maori healing) services
     

The percentage of Rongoa providers delivering their minimum contracted number of client contacts

100% 100% 100%
Provision and funding to support the delivery of health services for Maori
     

The percentage of providers who deliver services in accordance with their provider contracts with the Ministry of Health

100% 100% 100%
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Non-Governmental Organisations

       
NGOs 6,828 6,828 6,828 Ongoing

Total

6,828

6,828

6,828

 
National Maternity Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of maternity services.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 181,067 181,067 188,492
What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that women are supported with antenatal care, care during labour and birth, and postnatal care, so that the health of both mothers and babies is promoted.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Lead Maternity Carer (see Note 1)

     

Percentage of women giving birth in the year who receive antenatal primary maternity services from a LMC under the Primary Maternity Services Notice 2007 (the Notice)

93% 93% 93%

Percentage of women receiving antenatal primary maternity services under the Notice who registered with a Lead Maternity Carer (LMC) in the first trimester

73% 73% 73%

Total number of women giving birth in the year who receive antenatal primary maternity service from an LMC under the Notice

56,000 56,000 56,000

Note 1 - Lead Maternity Carers (LMCs) deliver quality maternity services in compliance with the Section 88 Primary Maternity Services Notice 2007 which excludes DHB primary maternity services.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 2,800 2,800 Not yet known Ongoing

Non-Governmental Organisations

       
Midwives 175,992 175,992 Not yet known Ongoing
Other NGOs 2,275 2,275 Not yet known Ongoing

Total

181,067

181,067

188,492

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
National Community Maternity Services - Maintaining Primary Maternity Services for New Zealanders to Support Healthy Pregnancies and Births 2019/20 - 7,425 7,425 7,425 7,425
National Maternity Services - Additional Support 2017/18 25,900 25,900 25,900 25,900 25,900

Previous Government

           
National Maternity Services Settlement drawdown from Contingency Fund 2017/18 8,400 8,400 8,400 8,400 8,400
Community midwives - cost and volume pressures 2015/16 4,882 4,882 4,882 4,882 4,882
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
Section 88 sets out the process for giving notice of payment terms or conditions to any person. The Ministry has issued a Notice pursuant to section 88 of the Act, the "Primary Maternity Services Notice 2007," which sets out terms and conditions.
National Mental Health Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of mental health services.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 80,194 77,694 141,296
What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that people are supported with mental health issues, including addiction, and work is undertaken to respond to suicidal behaviour and reduce its impact on communities.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Mental Health Programmes

     

Inpatient Mental Health Services; national specialist Ashburn clinic: the number of occupied bed days

7,200 8,000 7,200

Mental Health Services

     
Mother/Baby unit (see Note 1)
     

The total number of bed days that Ministry of Health funded Mother/Baby unit beds are occupied

767 767 767

Addictions

     

The number of clients receiving Alcohol and Other Drugs treatment to overcome their addiction is greater than or equal to

50,000 50,000 50,000

The number of clients receiving outpatient services (including intensive outpatient care) to overcome their addiction is greater than or equal to

50,000 50,000 50,000

The number of clients receiving Opioid Substitution Treatment services to overcome their addiction is greater than or equal to

5,200 5,200 5,200

Deliver on the Drivers of Crime Action Plan:

     
Positive Parenting Programme (Triple P)
     

The number of practitioners trained

60 60 60

The number of families receiving an intervention

1,800 1,800 1,800

Note 1 - The Ministry funds three Mother/Baby unit beds for use during the year.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 34,304 34,304 Not yet known Ongoing
Health Promotion Agency 7,078 7,078 Not yet known Ongoing
Institute of Environmental Science and Research (ESR) 1,650 1,650 Not yet known Ongoing

Non-Governmental Organisations

       
Ashburn Hall Charitable Trust 5,125 5,125 Not yet known Ongoing
Odyssey House Trust 3,641 3,641 Not yet known Ongoing
Te Rau Matatini Limited 2,962 2,962 Not yet known Ongoing
The Salvation Army New Zealand Trust 2,404 2,404 Not yet known Ongoing
Other NGOs 23,030 20,530 Not yet known Ongoing

Total

80,194

77,694

141,296

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Expanding Access and Choice of Primary Mental Health and Addiction Support 2019/20 - 29,000 76,281 108,250 150,375
Enhancing Specialist Alcohol and Other Drug Services 2019/20 - 10,500 10,500 10,500 10,500
Preventing Suicide and Supporting People Bereaved by Suicide 2019/20 - 10,100 10,000 9,950 9,950
Expanding Telehealth and Digital Supports for Mental Wellbeing 2019/20 - 5,200 5,200 5,200 5,200
Forensic Mental Health Services for Young People 2019/20 - 2,420 3,960 5,470 7,150
Forensic Mental Health Services for Adults 2019/20 - 1,770 3,430 4,410 5,390
Enhancing Primary Addiction Responses 2019/20 - 2,000 3,000 4,000 5,000
Mental Wellbeing Support for Parents and Whanau 2019/20 - 500 3,000 3,000 3,000
Improving Support for People Experiencing a Mental Health Crisis 2019/20 - 2,000 2,000 2,000 2,000
Intensive Parenting Support - Expanding the Pregnancy and Parenting Service to Improve the Wellbeing Outcomes of Parents and their Children 2019/20 - 1,000 2,000 2,000 2,000
Support for Christchurch - Continuation of Funding for Primary Care and Community-Based Mental Health Workers (See Note 1) 2019/20 - 5,480 - - -
Te Ara Oranga - Continuing the Methamphetamine Harm Reduction Programme in Northland 2019/20 - 1,000 1,000 1,000 1,000
Promoting Wellbeing in Primary and Intermediate Schools 2019/20 - 1,000 400 400 400
Integrated Therapies Pilot for 18-25 Year Olds 2018/19 1,400 3,630 4,000 - -
Improving Mental Health Services for Children in Canterbury and Kaikoura 2017/18 7,300 10,000 10,000 - -

Previous Government

           
Responding to Mental Health Concerns at an Earlier Stage 2016/17 3,000 3,000 3,000 3,000 3,000
Supporting Health Services in Canterbury 2016/17 1,000 - - - -

Note 1 - Funding for prior years was initially appropriated under the Health and Disability Support Services - Canterbury DHB appropriation.

Reasons for Change in Appropriation

This appropriation increases by $61.102 million to $141.296 million mainly due to:

  • $29 million for the Budget 2019 initiative Expanding Access and Choice of Primary Mental Health and Addiction Support
  • $10.500 million for the Budget 2019 initiative Enhancing Specialist Alcohol and Other Drug Services
  • $10.100 million for the Budget 2019 initiative Preventing Suicide and Supporting People Bereaved by Suicide
  • $5.200 million for the Budget 2019 initiative Expanding Telehealth and Digital Supports for Mental Wellbeing
  • $2.700 million uplift in 2019/20 for the Budget 2018 initiative Improving Mental Health Services for Children in Canterbury and Kaikoura
  • $2.420 million for the Budget 2019 initiative Forensic Mental Health Services for Young People
  • $2.230 million uplift in 2019/20 for the Budget 2018 initiative Integrated Therapies Pilot for 18-25 Year Olds
  • $2 million for the Budget 2019 initiative Enhancing Primary Addiction Responses
  • $2 million for the Budget 2019 initiative Improving Support for People Experiencing a Mental Health Crisis
  • $1.770 million for the Budget 2019 initiative Forensic Mental Health Services for Adults
  • $1 million for the Budget 2019 initiative Intensive Parenting Support - Expanding the Pregnancy and Parenting Service to Improve the Wellbeing Outcomes of Parents and their Children
  • $1 million for the Budget 2019 initiative Te Ara Oranga - Continuing the Methamphetamine Harm Reduction Programme in Northland
  • $1 million for the Budget 2019 initiative Promoting Wellbeing in Primary and Intermediate Schools, and
  • $500,000 for the Budget 2019 initiative Mental Wellbeing Support for Parents and Whanau.

This increase is partly offset by:

  • $7.500 million reprioritised in 2018/19 only to help address pressures on disability and mental health services
  • $1.200 million reduction in 2019/20 for initiatives that support a health approach as part of the Synthetic Drugs Response, and
  • $1 million reduction in 2019/20 for the Budget 2016 initiative Supporting Health Services in Canterbury.
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 The Health Promotion Agency (HPA) is established under Part 4 (sections 57-59) of the Act.
Section 59 outlines provisions relating to grants, sponsorship, and other matters.
Subsection 1 expressly provides that the HPA may, amongst other things, make grants to any entity with which the HPA is engaged and spends funds received the previous year, without further appropriation by Parliament.
Subsection 2 sets out conditions or limitations on such spending.
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
National Personal Health Services (M36)
Scope of Appropriation
This appropriation is limited to personal healthcare and support services purchased directly by the Crown, including mobile surgical services, telephone and online advice services, hospice services, sexual and reproductive health services, and services associated with the implementation of the Oral Health and Cancer Control Strategies.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 70,751 70,751 67,005
Components of the Appropriation
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Cancer Control 11,201 11,201 Not yet known
Helplines 22,218 22,218 Not yet known
Hospice & Palliative Care 7,292 7,292 Not yet known
Other 30,040 30,040 Not yet known

Total

70,751

70,751

67,005

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the following: people are supported with the identification, management, and treatment of personal health conditions (for example, treatment for cancer, and hospice services).

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Nationally Purchased Personal Health

     
National telehealth services
     

Phone line service is available 24/7

99% 99% 99%

Call abandonment rate (percentage less than)

10% 10% 10%

Percentage of calls answered within 20 seconds greater than

80% 80% 80%

Percentage of surveyed callers satisfied or very satisfied with the National Telehealth Service greater than

95% 90% 90%

Palliative Care

     

Six monthly DHB reports show Palliative Care innovations are being delivered

100% 100% 100%

High Cost Treatment Pool

     

The percentage of completed applications managed within three weeks

100% 100% 100%

Long Term Conditions

     
Diabetes
     

DHBs report quarterly to show implementation of "Living well with Diabetes' is achieved in line with project plans and quality standards for diabetes care

100% 100% 100%
Cardiac Services
     

The national percentage of completed registry entries for patients who present with Acute Coronary Syndrome (ACS) and have undergone coronary angiography

93% 93% 93%

The national percentage of patients presenting with suspected ACS receiving an angiogram within 3 days of admission (where day of admission is day zero)

70% 70% 70%
Stroke Services Improvement
     

All DHBs will provide an organised acute stroke service as recommended in the NZ Clinical guidelines for stroke management

20 20 20

Oral Health Promotion Campaign

     

Average number of decayed missing and filled teeth (DMFT) per child at age 5 is equal to or less than

1.79 1.79 1.79
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 22,573 22,573 Not yet known Ongoing
Central Region's Technical Advisory Services Limited 7,355 7,355 Not yet known Ongoing
Northern Regional Alliance Limited 819 819 Not yet known Ongoing

Non-Governmental Organisations

       
Homecare Medical (NZ) Limited Partnership 22,218 22,218 Not yet known Ongoing
Interchurch Council for Hospital Chaplaincy 2,874 2,874 Not yet known Ongoing
Other NGOs 14,912 14,912 Not yet known Ongoing

Total

70,751

70,751

67,005

 
Current and Past Policy Initiatives
Current and Past Policy Initiatives Table."> Policy Initiative Year of
First
Impact 2018/19
Final Budgeted
$000 2019/20
Budget
$000 2020/21
Estimated
$000 2021/22
Estimated
$000 2022/23
Estimated
$000

Previous Government

Organ Donation - National Strategy 2017/18 700 700 700 700 700
Conditions on Use of Appropriation
Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 59 outlines provisions relating to grants, sponsorship, and other matters.
Subsection 1 expressly provides that the Health Promotion Agency (HPA) may, amongst other things, make grants to any entity with which the HPA is engaged and spends funds received the previous year, without further appropriation by Parliament.
Subsection 2 sets out conditions or limitations on such spending.
New Zealand Public Health and Disability Act 2000 Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.
National Planned Care Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of planned care interventions.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 362,357 362,357 396,085
What is Intended to be Achieved with this Appropriation

This appropriation is intended to improve access to planned care interventions by funding more procedures and improvements to how elective procedures are provided or supported.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Mobility Action Programme

     

Programmes achieve targeted outcomes

100% 100% 100%

Planned Care Interventions

     

Service improvement activities are delivered to support implementation of the planned care strategy

- - Achieved

Quality Initiative

     

All 20 DHBs deliver quality initiatives that support improved access and timeliness of elective services

100% 100% 100%

Mobile Surgical Services

     

Mobile Surgical Services meet contractual service delivery agreements across mobile surgical services, rural health professional development, clinical networking services and Telehealth resource centre

Achieved Achieved Achieved

The Planned Care initiative supports agreed levels of delivery of planned care interventions. The output is the agreed discharges, above the base funding for each DHB, which are funded through non-departmental expenditure funding only. The Quality initiative is targeted funding to support DHBs in maintaining timely access, implementing system change or new models of care to create capacity to planned care interventions.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 357,096 357,096 Not yet known Ongoing

Non-Governmental Organisations

       
NGOs 5,261 5,261 Not yet known Ongoing

Total

362,357

362,357

396,085

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Planned Care, including Elective Surgery - Maintaining Services for New Zealanders 2019/20 - 16,700 16,700 16,700 16,700
Planned Care, including Elective Surgery - Increasing the Number of Interventions for New Zealanders 2019/20 - 12,000 12,000 12,000 12,000
Increasing Access to Gender Affirming Surgery 2019/20 - 748 748 748 748
Establish New Zealand Blood Service as the National Organ Donation Agency (Note) 2018/19 100 475 250 250 250
Elective Surgical Procedures 2018/19 31,500 31,500 31,500 31,500 31,500

Previous Government

           
Elective Surgery - Government's Health Target 2017/18 6,000 6,000 6,000 6,000 6,000
Elective Surgery - Government's Health Target 2016/17 24,000 24,000 24,000 24,000 24,000
Additional 2000 Elective Procedures 2015/16 12,000 12,000 12,000 12,000 12,000

Note this funding has been subsequently transferred to the National Personal Health Services appropriation.

Reasons for Change in Appropriation

This appropriation increases by $33.728 million to $396.085 million mainly due to:

  • $16.700 million for the Budget 2019 initiative Planned Care, including Elective Surgery - Maintaining Services for New Zealanders
  • $12 million for the Budget 2019 initiative Planned Care, including Elective Surgery - Increasing the Number of Interventions for New Zealanders
  • $3.120 million transferred from 2018/19 to 2019/20 for Planned Care, Organ Donation and Mobility Action Programmes, and
  • $748,000 for the Budget 2019 initiative Increasing Access to Gender Affirming Surgery.

This increase is partly offset by $1.960 million in 2018/19 only (which was transferred from 2017/18) for Musculoskeletal planned care services.

Primary Health Care Strategy (M36)
Scope of Appropriation
This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 264,639 264,639 330,533
Components of the Appropriation
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Very Low Cost Access 75,385 75,385 Not yet known
Care Plus 72,306 72,306 Not yet known
Free Under 14s 38,624 38,624 Not yet known
Community Services Card 36,996 36,996 Not yet know
System Level Measures 24,524 24,524 Not yet known
Other 16,804 16,804 Not yet known

Total

264,639

264,639

330,533

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide accessible primary care services to New Zealand communities, enabling people to live healthier, more independent lives.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Access to affordable Primary Health Care Strategy

     

The number of high needs patients in Very Low Cost Access (VLCA) practices

785,000 785,000 785,000

The percentage of enrolled Community Services Card (CSC) holders and dependents that have access to reduced general practice fees (consistent with VLCA practice maximum charges) during daytime visits

92% 93% 92%

Percentage of non-VLCA practices providing reduced fees (consistent with VLCA practice maximum charges) to CSC holders

85% 86% 85%

The percentage of enrolled children under 14 years that have access to zero fees general practice services during day time

98% 99% 98%

The percentage of enrolled children under 14 years that have access to zero fees general practice services during after hours

95% 97% 95%

The number of patients receiving a long-term conditions (LTC) service in pharmacies nationally

140,000 140,000 140,000

Percentage of total population enrolled in a Primary Health Organisation (PHO)

95% 93% 95%

Percentage of Maori population enrolled in a PHO

95% 91% 95%

Rural retention and locum support

     

Number of new rural long-term placements quarterly

17.5 29 17.5

Percentage of Rural Locum Support requests filled

90% 91% 90%
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 258,051 258,051 Not yet known Ongoing

Non-Governmental Organisations

       
The New Zealand Rural General Practice Network Incorporated 1,839 1,839 Not yet known Ongoing
Other NGOs 4,749 4,749 Not yet known Ongoing

Total

264,639

264,639

330,533

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Primary Care - Maintaining Access to Primary Health Services for New Zealanders 2019/20 - 16,800 16,800 16,800 16,800
Extending Zero Fees Doctors' Visits to Under 14s 2018/19 2,858 4,900 4,900 4,900 4,900
Primary Health Care - Additional Support 2018/19 9,499 9,499 9,499 9,499 9,499
Very Low Cost General Practitioner Visits for Community Services Card Holders 2017/18 58,608 100,000 100,000 100,000 100,000

Previous Government

           
Primary Health Care - Additional support 2017/18 9,585 9,585 9,585 9,585 9,585
Primary Health Care - Additional Support 2016/17 14,329 14,329 14,329 14,329 14,329
Under 13s - Free Prescriptions & GP Visits 2015/16 30,000 30,000 30,000 30,000 30,000
Primary Health Care - Pressure 2015/16 3,805 3,805 3,805 3,805 3,805
Reasons for Change in Appropriation

This appropriation increases by $65.894 million to $330.533 million due to:

  • $41.392 million uplift in 2019/20 from the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Services Card Holders
  • $16.800 million for the Budget 2019 initiative Primary Care - Maintaining Access to Primary Health Services for New Zealanders
  • $4.500 million reprioritised in 2018/19 only to help address pressures on disability and mental health services
  • $2.334 million from the centralisation of funding from DHBs for the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Services Card Holders, and
  • $2.042 million uplift in 2019/20 from the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s.

This increase is partly offset by:

  • $709,000 reduction in 2019/20 for the devolution of funding to DHBs for the Budget 2018 initiative Extending Zero Fees Doctors' Visits for Under 14s, and
  • $465,000 for a one-off increase in 2018/19 (transferred from 2017/18) for the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Card Holders.
Problem Gambling Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of services that minimise the harm from gambling, in accordance with the Gambling Act 2003.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 17,765 15,265 18,698
What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide services to reduce the harm caused by problem gambling.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Implementation of the Preventing and Minimising Gambling Harm (PMGH) Strategy

     

The number of people accessing support from problem gambling services

6,750 6,750 6,750

The number of brief only interventions delivered

6,000 6,000 6,000

Percentage of total gambler clients with a completed Problem Gambling Severity Index score

- - 90%
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
Health Promotion Agency 1,680 1,680 Not yet known Ongoing

Non-Governmental Organisations

       
Problem Gambling Foundation 4,987 4,987 Not yet known Ongoing
The Salvation Army New Zealand Trust 1,924 1,924 Not yet known Ongoing
Other NGOs 9,174 6,674 Not yet known Ongoing

Total

17,765

15,265

18,698

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Strategy to Prevent and Minimise Gambling Harm 2019/20 - 3,171 8,582 9,068 -

Previous Government

           
Problem Gambling Services - Continued Support 2016/17 6,914 - - - -
Reasons for Change in Appropriation

This appropriation increases by $0.933 million to $18.698 million due to:

  • $5 million transfer from 2018/19 to 2019/20 for continuation of Problem Gambling Services, and
  • $3.171 million for the Strategy to Prevent and Minimise Gambling Harm.

This increase was partly offset by:

  • $1.914 million net funding in 2018/19 only for Budget 2016 initiative Problem Gambling Services - Continued Support, after transferring $5 million to 2019/20, and
  • $5.324 million one-off increase in 2018/19 (transferred from 2017/18) for Problem Gambling Services.
Public Health Service Purchasing (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of public health services.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 403,266 392,608 440,302
Components of the Appropriation
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
National Screening Services 135,036 133,728 Not yet known
Nutrition & Physical Activity 33,948 33,948 Not yet known
Emergency Preparedness 6,903 6,903 Not yet known
Tobacco 25,575 25,575 Not yet known
Communicable Diseases 26,319 26,319 Not yet known
Sexual Health 26,107 24,457 Not yet known
Rheumatic Fever 5,000 5,000 Not yet known
Science Purchasing 11,923 11,923 Not yet known
Safe Water Subsidy Schemes 17,010 10,310 Not yet known
Alcohol & Drug Services 15,887 15,887 Not yet known
Public Health Infrastructure 12,527 12,527 Not yet known
Other Services 87,031 86,031 Not yet known

Total

403,266

392,608

440,302

What is Intended to be Achieved with this Appropriation

This appropriation is intended to support communities with the identification, management, and treatment of public health issues. This includes, for example, health promotion, screening for cancer and other conditions, investigating environmental or border health issues, and identifying and managing communicable diseases.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

National Screening Unit

     
National Cervical Screening Programme (NCSP) eligible women to be screened every three years
     

The number of women screened within the last three years, as a proportion of the eligible population (women aged 25 - 69 hysterectomy adjusted)

80% 80% 80%

The number of Maori women screened within the last three years, as a proportion of the eligible population (Maori women aged 25-69 hysterectomy adjusted)

80% 80% 80%

The number of Pacific women screened within the last three years, as a proportion of the eligible population (Pacific women aged 25-69 hysterectomy adjusted)

80% 80% 80%

The number of Asian women screened within the last three years, as a proportion of the eligible population (Asian women aged 25-69 hysterectomy adjusted)

80% 80% 80%
BreastScreen Aotearoa (BSA) eligible women to be screened every two years
     

Women screened within the last two years, as a proportion of the eligible population (women aged 45-69 years)

70% 70% 70%

Maori women screened within the last two years, as a proportion of the eligible population (Maori women aged 45-69 years)

70% 70% 70%

Pacific women screened within the last two years, as a proportion of the eligible population (Pacific women aged 45-69 years)

70% 70% 70%

Bowel Screening Programme

     

Number of DHBs that implement the bowel cancer screening programme following the phased implementation schedule

3 DHBs 3 DHBs 6 DHBs

Better Help for Smokers to Quit

     

Primary Care indicator

90% 90% 90%

Pregnancy indicator

90% 90% 90%

Environmental and Border Health

     

Providers of environmental and border protection scientific, surveillance, analysis, and/or advisory services, with contracts over $500,000 per annum, deliver milestones in accordance with contract requirements

95% 100% 95%

The number of training courses, workshops and forums provided to public health statutory officers from DHB public health units during the year

15 15 15

Services for Children

     

The proportion of infants exclusively and fully breastfeeding at:

     
  • Six weeks
75% 73% 75%
  • Three months
57% 59% 57%

Other Child and Youth - Violence Intervention Programme

     

DHBs achieve Violence Intervention Programme benchmark audit scores of 80/100

90% 94% 90%

DHBs have improved programme responsiveness to Maori as required by the evaluation measurement

90% 93% 90%

Rheumatic Fever

     

Number of DHBs with high incidence rates of rheumatic fever maintain or reduce rheumatic fever rates as per contracted targets (rate per 100,000) (see Note 1)

5 DHBs or more 3 DHBs or more 5 DHBs or more

Annual Influenza Immunisation Programme

     

Number of vaccine doses distributed annually is equal to or greater than

1.2 million 1.2 million 1.2 million

Percentage of over 65 year-olds immunised

75% 75% 75%

Sexual and Reproductive Health

     
New Zealand AIDS Foundation
     

The percentage of all clients tested for HIV/AIDS who are provided with a pre- and post-counselling session

100% 100% 100%

Convene and facilitate National HIV/AIDS Forum

Achieved Achieved Achieved
New Zealand Family Planning Association
     

The percentage of general consultations fully delivered across the 17 relevant DHB regions as per contract

100% 100% 100%

The percentage of pregnancy/maternity single episode consultations fully delivered across the 17 relevant DHB regions as per contract

100% 100% 100%

Emergency Preparedness

     

Maintain emergency management capability and capacity in DHBs (see Note 2)

Achieved Achieved Achieved

Contracted providers for the maintenance of the national reserve supply of pandemic stock deliver milestones, in accordance with contractual requirements

95% 95% 95%

Providers of national road ambulance services deliver emergency management capability and capacity milestones, in accordance with contractual requirements (see Note 3)

95% 95% 95%

Note 1 - Although rheumatic fever had reduced nationally by 16 percent from 2012 to 3.2 cases per 100,000 population in the 2016/17 financial year, the Ministry continues to focus efforts on reducing rheumatic fever rates with the 11 DHBs with high incidence rates.

Note 2 - Capability and capacity in DHBs: Each DHB develops, maintains and exercises a DHB Health Emergency Plan (HEP) (which meets the DHBs responsibilities under the Civil Defence Emergency Management Act 2002 and the National Health Emergency Plan 2015) and has sufficient numbers of staff trained to support an emergency response.

Note 3 - Capability and capacity in road ambulance services: Service providers maintain emergency plans (that are integrated with other health agency plans) to enable coordinated health care delivery during an emergency, maintenance of emergency equipment, participation in exercises and to ensure they have sufficient numbers of staff trained to support an emergency response.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 193,356 193,356 Not yet known Ongoing
Institute of Environmental Science and Research (ESR) 15,463 15,463 Not yet known Ongoing
Health Promotion Agency 8,016 8,016 Not yet known Ongoing
Auckland UniServices Limited 4,330 4,330 Not yet known Ongoing

State Owned Enterprises

       
New Zealand Post Limited 5,082 5,082 Not yet known Ongoing

Local Government

       
Auckland Council 1,474 1,474 Not yet known Ongoing
Far North District Council 7,300 4,504 Not yet known Time Limited
Rotorua Lakes District Council 4,460 3,785 Not yet known Time Limited

Non-Governmental Organisations

       
BreastScreen Auckland 5,372 5,372 Not yet known Ongoing
New Zealand Family Planning Association Incorporated 12,854 12,854 Not yet known Ongoing
Screen South Ltd 10,488 10,488 Not yet known Ongoing
Southern Community Laboratory 8,377 8,377 Not yet known Ongoing
United Fresh New Zealand Incorporated 7,804 7,804 Not yet known Ongoing
New Zealand AIDS Foundation Charitable Trust 4,230 4,230 Not yet known Ongoing
Pacific Radiology Group Limited 4,158 4,158 Not yet known Ongoing
CBG Health Research Limited 3,986 3,986 Not yet known Ongoing
National Heart Foundation of NZ - Auckland 3,599 3,599 Not yet known Ongoing
Needle Exchange Services Trust Incorporated 2,243 2,243 Not yet known Ongoing
Other NGOs 100,674 93,487 Not yet known Ongoing

Total

403,266

392,608

440,302

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
National Bowel Screening Programme - Rollout of Programme to a Further Four DHBs 2019/20 - 9,000 9,000 9,000 9,000
Reducing the Incidence and Improving the Management of Rheumatic Fever 2019/20 - 2,710 3,030 3,130 3,130
Supporting Schools and Early Learning Settings to Improve Wellbeing Through Healthy Eating and Quality Physical Activity 2019/20 - 2,570 1,810 1,810 1,810
Violence Intervention Programme - Health Sector Screening for Early Intervention and Prevention of Family Violence 2019/20 - 524 524 524 524
Synthetic Drugs Response 2018/19 6,750 5,550 2,150 2,150 -
Support for Rainbow Communities 2018/19 60 1,010 - - -
National Bowel Screening Programme Implementation Year Two 2018/19 13,391 13,184 13,314 14,196 14,196

Previous Government

           
National Bowel Screening Business Case drawdown from Contingency Fund 2017/18 3,713 3,585 3,300 3,330 3,330
Community Organisation Refugee Sponsorship Category 2017/18 249 249 249 249 249
National Bowel Screening Programme 2017/18 6,282 5,701 6,898 6,898 6,898
Water Fluoridation (Assistance) 2017/18 3,000 3,000 3,000 3,000 3,000
Contraceptive Services for Low Income Women 2017/18 3,880 5,880 5,880 5,880 5,880
Primary Care Services 2015/16 3,904 3,904 3,904 3,904 3,904
Intensive Alcohol and Drug Support for Pregnant Women - Extension of Services 2016/17 3,000 3,000 3,000 3,000 3,000
Public Health Services - Additional Support 2016/17 1,559 1,559 1,559 1,559 1,559
National Bowel Screening Programme Establishment 2016/17 3,072 2,820 2,820 2,820 2,820
Public Health - Pressure 2015/16 4,218 4,218 4,218 4,218 4,218
Reasons for Change in Appropriation

This appropriation increases by $37.036 million to $440.302 million mainly due to:

  • $17.300 million reprioritised in 2018/19 to help address pressures on disability and mental health services
  • $16.817 million for the net impact of funding transfers between years for the National Bowel Screening Programme to support the rollout of the programme
  • $9 million for the Budget 2019 initiative National Bowel Screening Programme - Rollout of Programme to a Further Four DHBs
  • $9 million for the net impact of funding transfers between years for the Water Fluoridation (Assistance) initiative
  • $2.710 million for the Budget 2019 initiative Reducing the Incidence and Improving the Management of Rheumatic Fever
  • $2.570 million for the Budget 2019 initiative Supporting Schools and Early Learning Settings to Improve Wellbeing Through Healthy Eating and Quality Physical Activity
  • $950,000 uplift in 2019/20 for the initiative Support for Rainbow Communities, and
  • $524,000 for the Budget 2019 initiative Violence Intervention Programme - Health Sector Screening for Early Intervention and Prevention of Family Violence.

This increase is partly offset by:

  • $18.623 million one-off increase in 2018/19 (transferred from 2017/18) for the Sanitary Works Subsidy Scheme
  • $1.400 million one-off increase in 2018/19 (transferred from 2017/18) for Services to Refugees
  • $1.380 million one-off increase in 2018/19 (transferred from 2017/18) for Contraceptive Services for Low Income Women, and
  • $1.200 million reduction in funding for Synthetic Drugs Response.
Supporting Equitable Pay (M36)
Scope of Appropriation
This appropriation is limited to costs related to supporting equitable pay for care and support workers, and mental health and addiction support workers.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 377,405 377,405 413,636
What is Intended to be Achieved with this Appropriation

This appropriation is intended to support the achievement of pay equity in the care and support, mental health and addiction sectors.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted under s15D(2)(b)(ii) of the PFA as end-of-year performance information for the appropriation is not likely to be informative as this appropriation is an interim measure to enable providers to be reimbursed for additional costs incurred in relation to the care and support worker pay equity settlement.

Note - Performance information for National Disability Support Services will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations; and performance information for aged residential care services purchased by DHBs can be found in DHBs' Annual Reports.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018 2018/19 29,405 36,636 34,468 42,787 42,787

Previous Government

           
Equitable Pay for Care and Support Workers 2017/18 348,000 377,000 356,000 472,000 472,000
Reasons for Change in Appropriation

This appropriation increases by $36.231 million to $413.636 million due to:

  • $29 million uplift in 2019/20 for the Budget 2017 initiative Equitable Pay for Care and Support Workers to reflect the increased pay rates to care and support workers from 1 July 2018, and
  • $7.231 million uplift in 2019/20 for Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018.

3.4 - Non-Departmental Other Expenses

International Health Organisations (M36)
Scope of Appropriation
This appropriation is limited to the Crown funding New Zealand's World Health Organization (WHO) membership and contributing to specific WHO projects.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 2,030 2,030 2,030
What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that New Zealand maintains its membership in the World Health Organization (WHO) and contributes to specific WHO projects.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted under s15D(2)(b)(iii) of the PFA as the amount of the appropriation is less than $5 million.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment
World Health Organization (WHO) 2,030 2,030 2,030 Ongoing
Legal Expenses (M36)
Scope of Appropriation
This appropriation is limited to funding the defence and settlement of health-related or disability-related legal claims against the Crown.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 11,028 3,378 1,028
What is Intended to be Achieved with this Appropriation

This appropriation is intended to enable action to be taken regarding legal claims related to Vote Health, and these are funded and appropriate settlements are made, as appropriate.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted under s15D(2)(b)(iii) of the PFA as the amount of the appropriation is less than $5 million.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Funded Family Care 2018/19 10,000 - - - -
Reasons for Change in Appropriation

The decrease in this appropriation is due to a one-off funding of $10 million received in 2018/19 for costs arising from litigation for funded family care.

Provider Development (M36)
Scope of Appropriation
This appropriation is limited to supporting the development of health or disability service providers, in particular, those supporting vulnerable populations, such as Maori and Pacific peoples.
Expenses
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 28,289 21,289 43,434
What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide for third party health services, particularly those providing predominantly for Maori and Pacific peoples, to be supported to become more effective, efficient, and sustainable.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

To support Maori providers to build their capability and capacity

     

The number of Maori providers contracted for development activities

92 93 92

Percentage of Maori providers that demonstrate improved management, access or quality of services through Results Based Accountability reporting

90% 90% 90%

Hauora Maori Scholarships - To support Maori students onto a health career pathway

     

The number of students funded to undertake training towards a Health career

520 520 520

Te Ao Auahatanga Hauora Maori - Innovation Funds

     

The number of Maori providers contracted to implement Te Kakano (Seeding) innovations

19 19 20

The percentage of Te Ruinga (Spreading) innovation programmes monitored quarterly that show progress towards sustainability

90% 90% 90%

Maori Workforce Development

     

The percentage of Maori students recruited into a Foundation Course who gain acceptance into health related study through seven Maori Workforce Development Programmes

80% 80% 80%

Pacific Provider Development

     
To recruit and retain Pacific health professionals onto a health career pathway
     

The number of Pacific students funded through the Ministry of Health Pacific Health Scholarships is at least

160 160 160

The percentage course completion for students through the Postgraduate Certificate in Specialty Care (Pacific Health), Postgraduate Diploma in Specialty Care (Pacific Health) and Master of Nursing Health Programme is at least

80% 80% 80%
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers
Provider 2018/19
Final Budgeted
$000
2018/19
Estimated Actual
$000
2019/20
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 1,986 1,986 Not yet known Ongoing

Non-Governmental Organisations

       
Alliance Health Plus Trust 1,400 1,400 Not yet known Ongoing
NGOs 24,903 17,903 Not yet known Ongoing

Total

28,289

21,289

43,434

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Maori Health Workforce Development Package - Pathways to Ongoing Employment to Enable Equitable Health Outcomes 2019/20 - 2,500 2,500 2,500 2,500
Increasing the Pacific Provider and Workforce Development Fund to Support a Pacific Workforce Pipeline 2019/20 - 2,380 2,380 2,380 2,380
Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes 2019/20 - 500 1,473 1,500 2,000
Support Programme for Pacific Students to Successfully Complete a Nursing/ Midwifery Undergraduate Degree 2019/20 - 315 780 1,245 1,395
Increasing Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund to Improve Maori Health Outcomes 2019/20 - 750 750 750 750
Supporting Integrated Health and Social Services at Auckland City Mission 2018/19 16,700 - - - -
Reasons for Change in Appropriation

This appropriation increases by $15.145 million to $43.434 million due to:

  • $12.700 million transferred from 2018/19 to 2019/20 as a result of changes in the timing of the construction project for integrated health and social services facilities at the Auckland City Mission
  • $2.500 million for the Budget 2019 initiative Maori Health Workforce Development Package - Pathways to Ongoing Employment to Enable Equitable Health Outcomes
  • $2.380 million for the Budget 2019 initiative Increasing the Pacific Provider and Workforce Development Fund to Support a Pacific Workforce Pipeline
  • $750,000 for the Budget 2019 initiative Increasing Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund to Improve Maori Health Outcomes
  • $500,000 for the Budget 2019 initiative Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes, and
  • $315,000 for the Budget 2019 initiative Support Programme for Pacific Students to Successfully Complete a Nursing/ Midwifery Undergraduate Degree.

This increase is partly offset by net funding of $4 million in 2018/19 only for integrated health and social services facilities at the Auckland City Mission, after transferring $12.700 million to 2019/20.

3.5 - Non-Departmental Capital Expenditure

Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)
Scope of Appropriation
This appropriation is limited to providing capital contributions to health sector Crown entities or agencies for new investments and reconfiguration of their balance sheets.
Capital Expenditure
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 264,273 148,773 1,507,470
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the following: equity funding is provided to DHBs to fund the cost of capital projects, where the DHB is unable to fund the projects entirely within their cash flows.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

DHB seeking equity funding for approved business cases receive that funding

100% 100% 100%
End of Year Performance Reporting

The DHBs will report performance information for this appropriation in their Annual Reports.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards' Capital Investment 2019/20 - 850,000 850,000 - -
District Health Boards' Capital Investment 2018/19 750,000 - - - -
Reasons for Change in Appropriation

This appropriation increases by $1,243.197 million to $1,507.470 million mainly due to:

  • $1,138,354 million as the net effect of funding transfers from 2017/18 to 2018/19 and from 2018/19 to 2019/20 to reflect the changes in timing in various capital projects
  • $850 million in 2019/20 for the Budget 2019 initiative District Health Boards' Capital Investment
  • $47.560 million transferred to Health Sector Projects in 2018/19 for the Canterbury DHB Christchurch Hospital Energy Centre
  • $15.227 million transferred to Health Sector Projects in 2018/19 for Southern DHB Dunedin Hospital redevelopment, and
  • $12.920 million transferred to Health Sector Projects in 2018/19 for the West Coast DHB Grey Base Hospital redevelopment.

This increase is partly offset by:

  • $750 million in 2018/19 only for the Budget 2018 initiative District Health Boards' Capital Investment, and
  • $64.192 million in 2018/19 only for the transfer of the Outpatients Facility to Canterbury DHB.
Conditions on Use of Appropriation

All expenditure from this appropriation requires the joint agreement of the Minister of Health and the Minister of Finance.

Equity Support for DHB deficits (M36)
Scope of Appropriation
This appropriation is limited to equity injections to District Health Boards to address working capital requirements.
Capital Expenditure
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 234,211 234,211 134,211
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the following: DHBs are supported to maintain their working capital.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted under s15D(2)(b)(ii) of the PFA as the end-of-year performance information for the appropriation is not likely to be informative in the light of the nature of the transaction or causal event giving rise to the capital expenditure because the funding is, in essence, a contingency.

Note that DHBs will report performance information in their Annual Reports.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
District Health Boards - Deficit Support 2018/19 95,000 95,000 - - -
Provision for Additional Deficit Support for District Health Boards 2018/19 100,000 - - - -
Reasons for Change in Appropriation

The decrease in this appropriation is due to a one-off funding of $100 million provided in 2018/19 from the Budget 2018 initiative Provision for Additional Deficit Support for District Health Boards.

Conditions on Use of Appropriation

All expenditure from this appropriation requires the joint agreement of the Minister of Health and the Minister of Finance.

Health Sector Projects (M36)
Scope of Appropriation
This appropriation is limited to the provision or purchase of health sector assets.
Capital Expenditure
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 213,922 213,922 40,600
What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide for capital projects delivered on behalf of the Crown, supporting heath sector organisations to deliver health services for New Zealanders.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

All Cabinet approved hospital redevelopment projects meet project milestones

100% 100% 100%
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Dunedin Hospital Redevelopment drawdown from Contingency Fund 2018/19 9,600 10,600 - - -
Reasons for Change in Appropriation

This appropriation decreases by $173.322 million to $40.600 million due to:

  • $98.615 million as the net effect of funding transfers from 2017/18 to 2018/19 and from 2018/19 to 2019/20 to reflect the timing of health sector capital projects
  • $47.560 million transferred from Equity for Capital Projects for DHBs and Health Sector Crown Agencies in 2018/19 for the Canterbury DHB Christchurch Hospital Energy Centre
  • $15.227 million transferred from Equity for Capital Projects for DHBs and Health Sector Crown Agencies in 2018/19 for Southern DHB Dunedin Hospital redevelopment, and
  • $12.920 million transferred from Equity for Capital Projects for DHBs and Health Sector Crown Agencies in 2018/19 for the West Coast DHB Grey Base Hospital redevelopment.

This decrease is slightly offset by $1 million uplift in 2019/20 for the Dunedin Hospital Redevelopment drawdown from Contingency Fund.

Residential Care Loans - Payments (M36)
Scope of Appropriation
This appropriation is limited to the provision of interest-free loans to people entering into aged residential care facilities.
Capital Expenditure
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 15,000 15,000 15,000
What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that New Zealanders who are entering residential care facilities receive an appropriate level of financial assistance so they can afford that care.

How Performance will be Assessed and End of Year Reporting Requirements
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Percentage of entitled people are able to access residential care loans

100% 100% 100%
End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Part 4 - Details of Multi-Category Expenses and Capital Expenditure

Multi-Category Expenses and Capital Expenditure

Policy Advice and Ministerial Servicing (M36)
Overarching Purpose Statement
The single overarching purpose of this appropriation is to provide policy advice and other support to Ministers in discharging their policy decision-making and other portfolio responsibilities.
Scope of Appropriation
Departmental Output Expenses
Ministerial Servicing
This category is limited to the provision of services to Ministers to enable them to discharge their portfolio responsibilities other than policy decision-making.

 

Policy Advice
This category is limited to the provision of advice (including second opinion advice and contributions to policy advice led by other agencies) to support decision-making by Ministers on government policy matters.

 

Supporting the Review of the New Zealand Health and Disability System
This category is limited to the expenses of, and providing support to, the Expert Panel advising Ministers on the Review of the New Zealand Health and Disability System.
Expenses, Revenue and Capital Expenditure
  2018/19 2019/20
  Final Budgeted
$000
Estimated Actual
$000
Budget
$000

Total Appropriation

26,401 24,901 26,895

Departmental Output Expenses

     
Ministerial Servicing 4,702 4,702 4,702
Policy Advice 16,439 16,439 17,889
Supporting the Review of the New Zealand Health and Disability System 5,260 3,760 4,304

Funding for Departmental Output Expenses

     

Revenue from the Crown

26,401 26,401 26,895
Ministerial Servicing 4,702 4,702 4,702
Policy Advice 16,439 16,439 17,889
Supporting the Review of the New Zealand Health and Disability System 5,260 5,260 4,304
What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that Ministers are supported and advised so they can discharge their portfolio responsibilities.

How Performance will be Assessed for this Appropriation
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

How performance will be assessed for the MCA as a whole

     

Satisfaction of the portfolio Minister with the policy advice service

- `- See Note 1

Note 1 - The Standard will be identified based on the revised Ministerial Satisfaction Survey and updated in the Supplementary Estimates. All agencies are required to use the refined Ministerial Satisfaction Survey from 2019/20 to assess ministerial satisfaction with the policy service. The survey is currently under review and the refined survey and guidance will be released before 30 June 2019.

What is Intended to be Achieved with each Category and How Performance will be Assessed
  2018/19 2019/20
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Departmental Output Expenses

     

Ministerial Servicing

     

This category is intended to achieve the following: Ministers are provided with support so that they can discharge their portfolio responsibilities

     

The percentage of responses provided to the Minister within agreed timeframes for written parliamentary questions and Ministerial letters

95% 85% 95%

The percentage of responses provided to the Minister within agreed timeframes for requested briefings

95% 85% 95%

The percentage of Ministerial letters accepted without substantive amendment

95% 90% 95%

The percentage of responses to Official Information Act requests provided to the Minister within the agreed timeframe (for requests made to the Minister) or to the requestor within the statutory timeframe, including where extended in line with the Act (for requests made to the Ministry)

95% 97% 95%

Policy Advice

     

This category is intended to achieve the following: Ministers are provided with policy advice that appropriately informs them on issues affecting the health portfolio, Government priorities, and when otherwise appropriate

     

The average score attained by written policy advice as assessed by an external reviewer

greater than 7 out of 10 7/10 Greater than 7 out of 10

Assessment of the quality of a sample of the Ministry's policy advice papers

- - See Note 1

Supporting the Review of the New Zealand Health and Disability System

     

This category is intended to achieve a review of the Health and Disability System

     

The Health and Disability System Review's key milestones are achieved

Achieved Achieved Achieved

The Health and Disability System Review members are satisfied with the support services provided

Satisfied or better Satisfied or better Satisfied or better

Note 1 - The Standard will be identified based on the refreshed Policy Quality Framework and updated in the Supplementary Estimates. All agencies are required to use the refreshed Policy Quality Framework from 2019/20 to assess the quality of their policy advice papers. The Policy Quality Framework is currently being refreshed. The refreshed Framework will be released before 30 June 2019.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2018/19
Final Budgeted
$000
2019/20
Budget
$000
2020/21
Estimated
$000
2021/22
Estimated
$000
2022/23
Estimated
$000

Current Government

           
Enhancing the Ministry of Health's Capability to Support Government Priorities 2019/20 - 400 400 400 400
Expanding Access and Choice of Primary Mental Health and Addiction Support 2019/20 - 500 250 250 250
Increasing Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund to Improve Maori Health Outcomes 2019/20 - 250 250 250 250
Violence Intervention Programme - Health Sector Screening for Early Intervention and Prevention of Family Violence 2019/20 - 300 300 - -
Expanding and Enhancing School Based Health Services 2019/20 - 100 100 200 100
Mental Wellbeing Support for Parents and Whanau 2019/20 - 50 100 100 250
2020 Cannabis Referendum: Approach and Timeframes 2019/20 150 - - - -
Establishing the NZ Health and Disability System Review 2018/19 5,260 4,304 - - -

 

Last updated: 
Thursday, 30 May 2019